Provider Demographics
NPI:1144413030
Name:FRIEHLING, BONNIE S (MD)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:S
Last Name:FRIEHLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5108 BUCKEYE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-9021
Mailing Address - Country:US
Mailing Address - Phone:573-999-7767
Mailing Address - Fax:
Practice Address - Street 1:1511 CHAPEL HILL RD STE 103
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5452
Practice Address - Country:US
Practice Address - Phone:573-447-2700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003007580207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine