Individual
MR. MICHAEL G. FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RADCI
Contact information
Practice address
1201 TUCKAWAY LN, MENASHA, WI 54952-1704
(920) 733-4443
(920) 733-4796
Mailing address
936 GREEN ST, SEYMOUR, WI 54165-1616
(920) 833-7085
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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