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Christopher Paul Friesen, DO

Family Medicine in Fenton, MO. Individual provider (NPI-1).

NPI number1124001052
StatusActive
Last updated in NPPESSep 15, 2011

Details

NPI
1124001052
Entity type
Individual (NPI-1)
Name
Mr. Christopher Paul Friesen
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 23, 2005
Last updated
Sep 15, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR9450MOYes

Practice location

320 Gravois Rd
Suite B
Fenton, MO 63026-4131

Phone 636-305-1899 · Fax 636-305-1898

Mailing address

320 Gravois Rd
Suite B
Fenton, MO 63026-4131

Phone 636-305-1899 · Fax 636-305-1898

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