Individual
DOMINIC F FRECENTESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
(651) 292-2204
Mailing address
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
(651) 292-2204
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25590-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
42317
MN
2085R0202X
Diagnostic Radiology Physician
9555
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001662400
—
MN
Enumeration date
01/10/2006
Last updated
01/07/2026
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