Individual
MICKEL FRISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
395 WILLIAMS ST, LEWISTON, MN 55952-1109
(507) 459-4830
Mailing address
395 WILLIAMS ST, LEWISTON, MN 55952-1109
(507) 459-4830
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/27/2010
Last updated
11/03/2010
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