Individual
DR. JERRY WALTER FROELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
516 DELAWARE ST SE, UNIV.OF MN PHYSICIANS, PWB FIRST FLOOR, CLINIC 1D, MINNEAPOLIS, MN 55455-0356
(612) 273-6004
(612) 273-8459
Mailing address
420 DELAWARE ST SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MMC 292, MINNEAPOLIS, MN 55455-0341
(612) 626-3345
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
44437
MN
2085R0202X
Diagnostic Radiology Physician
Primary
44437
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068000
—
MT
05
—
0571968
—
IA
01
—
1029764
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
16-02032
MEDICA PRIMARY
MN
01
—
16-02745
MEDICA CHOICE
MN
01
—
170259
UCARE
MN
01
—
236323
ARAZ
MN
05
—
7777470
—
SD
01
—
HP34061
HEALTHPARTNERS
MN
Enumeration date
07/01/2006
Last updated
09/11/2025
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