Provider Demographics
NPI:1962495911
Name:FRIEDMAN, NEIL ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ALLEN
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5039 VILLA LINDE PKWY
Mailing Address - Street 2:SUITE 22
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3450
Mailing Address - Country:US
Mailing Address - Phone:810-733-0520
Mailing Address - Fax:810-733-7443
Practice Address - Street 1:5039 VILLA LINDE PKWY
Practice Address - Street 2:SUITE 22
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3450
Practice Address - Country:US
Practice Address - Phone:810-733-0520
Practice Address - Fax:810-733-7443
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2010-03-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301049800208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
B46168Medicare UPIN