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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL BRUNO- FREDERIKSEN

Active Sole Proprietor

MITCHELL BRUNO- FREDERIKSEN is a Peer Specialist healthcare provider located in COVENTRY TOWNSHIP, Ohio. NPI 1811685464 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · COVENTRY TOWNSHIP, OH

Registration Details

NPI Number
1811685464
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2023 (3.260816240768 yrs)
Last Updated
May 1, 2023
Sole Proprietor
Yes

Practice Information

Address
648 COVE BLVD
COVENTRY TOWNSHIP, OH, 443191042
Browse OH providers · Browse ZIP 44319
Phone
3305534584
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in COVENTRY TOWNSHIP, OH

Name Credential NPI
MR. ANTHONY F MANN 1154815405
RIKKI ROSS 1023674538
PAULA RAE ROBERTS CDCA 1851957443
KAREN GRIFFIN CDCA, PRS 1780241224
MS. LAURA PEARL WHITE 1558966671
MARK STEVEN SALCHAK 1972194991
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.