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Individual

DR. MARCUS LEE FROHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
103869
MN
207N00000X
Dermatology Physician
4301089830
MI
207N00000X
Dermatology Physician
9025
SD
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
9025
SD
390200000X
Student in an Organized Health Care Education/Training Program
4301089830
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35360800
WI
05
ENROLLED
IA
05
ENROLLED
MN
01
P00849655
RAIL ROAD - MEDICARE
MN
Enumeration date
06/13/2007
Last updated
02/28/2023
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