Provider Demographics
NPI:1538397708
Name:FRIDRICH, CHRISTOPHER M (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:M
Last Name:FRIDRICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 VILLAGE POINTE DR
Mailing Address - Street 2:APARTMENT J
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-7446
Mailing Address - Country:US
Mailing Address - Phone:440-541-4907
Mailing Address - Fax:
Practice Address - Street 1:320 VILLAGE POINTE DR
Practice Address - Street 2:APARTMENT J
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-7446
Practice Address - Country:US
Practice Address - Phone:440-541-4907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-26
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-097445207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0065544Medicaid
H112351Medicare PIN