Mathew Conrad Friedemann DDS

NPI 1457564957 - Dentist - 1223G0001X

NPI Details
NPI 1457564957
Gender Male
Enumeration Date 05/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
114 W STATE ST
EAST TAWAS MI, 48730-1259, US
Phone (989) 362-3408
Fax (989) 362-8372
Business Location
114 W STATE ST
EAST TAWAS MI, 48730-1259, US
Phone (989) 362-3408
Fax (989) 362-8372
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 10423
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According to our database, Dr. Mathew Conrad Friedemann DDS NPI is 1457564957, taxonomy code is 1223G0001X and license number is 10423, license state is located at Michigan. Mathew Conrad Friedemann DDS physically located at 114 W State St, East Tawas MI, 48730-1259. NPI Number Mathew Conrad Friedemann DDS has the Individual type.

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1457564957 NPI number is provided on an as is basis without warranty of any kind. 1457564957 is maintained by the National Plan & Provider Enumeration System. The contents of Mathew Conrad Friedemann DDS are for informational purposes only.