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NPI Code Detail

MEDICARE: ERIC PAUL FRIDLINE DPT

MEDICARE: ERIC PAUL FRIDLINE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501018488MI

General Provider Information

NPI Number : 1881107522
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC PAUL FRIDLINE DPT
Provider Business Mailing Address
First Line : 4710 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2606
Country : US
Telephone Number : 989-341-1070
Fax Number : 989-341-1072
Provider Business Practice Location Address
First Line : 4710 EASTMAN AVE
Second Line :
City : MIDLAND
State : MI
Zip : 48640-2606
Country : US
Telephone Number : 989-341-1070
Fax Number : 989-341-1072
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2017
Last Update Date : 11/15/2017

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Directions to “ ERIC PAUL FRIDLINE DPT” Practice Location

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