Individual
MR. DAN FRISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
753 POINTE BASSE DR, STE GENEVIEVE, MO 63670-1820
(573) 883-2782
Mailing address
PO BOX 366, STE GENEVIEVE, MO 63670-0366
(573) 883-4477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3D42
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202378618
—
MO
01
—
930034706
RAILROAD MEDICARE
MO
Enumeration date
02/08/2006
Last updated
05/13/2008
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