Healthcare Provider Details

I. General information

NPI: 1508669870
Provider Name (Legal Business Name): KAREN MARIE FRIESWYK DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2025
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GME ADMIN, 1200 EAST BROAD STREET BOX 980257
RICHMOND VA
23298
US

IV. Provider business mailing address

13707 RIVER TREE CT APT 204
CHESTER VA
23836-6165
US

V. Phone/Fax

Practice location:
  • Phone: 804-828-0733
  • Fax:
Mailing address:
  • Phone: 517-745-1818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0116042126
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: