Individual
DR. MATTHEW REES FRIEDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2500 E MARKET ST, LOGANSPORT, IN 46947
(574) 722-5252
Mailing address
465 S STATE ROAD 115, WABASH, IN 46992-8486
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004040
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004314
—
IN
Enumeration date
06/24/2017
Last updated
08/15/2018
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