Organization Name: | DRS FREIREICH & WEISS |
NPI Number: | 1104921287 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD FREIREICH (CO-OWNER) |
Mailing Address: | 18660 Bagley Rd Suite 301 Middleburg Heights |
State: | OH US |
Postal Code: | 441303483 |
Phone Number: | 4402431473 |
Fax Number: | 4402431476 |
NPI Enumeration Date: | 09/14/2006 |
NPI Last Update Date: | 08/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |