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Individual

DR. TED HAROLD FROMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
240 MINNESOTA ST, RAPID CITY, SD 57701-6200
(605) 718-5123
Mailing address
405 N BERRY PINE RD, RAPID CITY, SD 57702-1856
(402) 547-8773

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
5720
NE
207W00000X
Ophthalmology Physician
Primary
7858
SD

Other

Enumeration date
07/12/2007
Last updated
06/14/2012
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