Individual
KATHRYN ELIZABETH JACQUES FRODERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3366 OAKDALE AVE N, SUITE 315, ROBBINSDALE, MN 55422
(763) 587-7900
(763) 587-7989
Mailing address
9201 WEST BROADWAY AVE, SUITE 601, BROOKLYN PARK, MN 55445
(763) 587-7900
(763) 587-7066
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9772
MN
Other
Enumeration date
09/23/2009
Last updated
04/10/2015
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