Provider Demographics
NPI:1245852409
Name:FRIEDLI, JOSEPH DANIEL (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DANIEL
Last Name:FRIEDLI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DRIVE
Mailing Address - Street 2:J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:7575 GRAND RIVER AVE SUITE 210
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114
Practice Address - Country:US
Practice Address - Phone:810-844-7950
Practice Address - Fax:810-494-6895
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-11
Last Update Date:2024-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4351046313207Q00000X
MI4301509187207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine