Provider Demographics
NPI:1730471749
Name:FRIEDLE, MICHAEL CHAD (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHAD
Last Name:FRIEDLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3305 N CALAIS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-1796
Mailing Address - Country:US
Mailing Address - Phone:903-957-0016
Mailing Address - Fax:903-957-0038
Practice Address - Street 1:3305 N CALAIS DR STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1796
Practice Address - Country:US
Practice Address - Phone:903-957-0016
Practice Address - Fax:903-957-0038
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2020-01-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK5976208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery