NPI 1073695037 · live from the CMS NPI Registry
Clayton Jose Friesen, M.D.
Internal Medicine, Cardiovascular Disease in Grand Island, NE. National Provider Identifier 1073695037, active.
NPI record
| NPI | 1073695037 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 3515 Richmond Circle, Grand Island, NE 68803 |
| Practice phone | 308-381-8636 |
| Mailing address | 7440 South 91st Street, Lincoln, NE 68526 |
| Enumerated | October 19, 2006 |
| Last updated | October 18, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 22964 (NE) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | 22964 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.