Friesen, Gary Merle

Friesen, Gary Merle is an individual health care provider with primary practice located at 1414 West Fair Avenue Suite 334, Marquette MI 49855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Friesen, Gary Merle can be contacted via phone (906) 225-3870.

Contact Information

Primary practice address
1414 West Fair Avenue Suite 334 Marquette MI 49855
Fax: (906) 225-4861
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301069400 Michigan

Profile Details

NPI number 1730123183
LBN Legal business name Friesen, Gary Merle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 5th, 2008 - about 18 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 1730123183 NPPES
Other P00005099 RAILROAD MEDICARE
MEDICAID 4503044 RAILROAD MEDICARE
Other 1105200068 RAILROAD MEDICARE
MEDICAID 34966500 RAILROAD MEDICARE

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