Provider Demographics
NPI:1013727593
Name:FRIAR, MADISON LEIGH
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:LEIGH
Last Name:FRIAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 WATERMILL LN
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-5472
Mailing Address - Country:US
Mailing Address - Phone:419-261-6250
Mailing Address - Fax:
Practice Address - Street 1:1629 WATERMILL LN
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-5472
Practice Address - Country:US
Practice Address - Phone:419-261-6250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No172A00000XOther Service ProvidersDriver