Friese, Robert

Friese, Robert is an individual health care provider with primary practice located at Po Box 800 , Fairmont MN 56031-0800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Friese, Robert can be contacted via phone (507) 238-8555.

Contact Information

Primary practice address
Po Box 800 Fairmont MN 56031-0800
Phone: (507) 238-8555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2353 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 2353 Minnesota

Profile Details

NPI number 1114901733
LBN Legal business name Friese, Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114901733 NPPES
Minnesota MEDICAID 573R3FR
Minnesota Other 675185
Minnesota MEDICAID 114854
Minnesota Other MH9041028502
Minnesota Other 22-02567
Minnesota MEDICAID 441525600
Minnesota MEDICAID 1160887
Minnesota Other 573R3FR

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