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Individual

PAUL FRENETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
18484 KACHINA CT, LAKEVILLE, MN 55044-4886
(952) 993-8800
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73254
MN
207Q00000X
Family Medicine Physician
A163849
CA

Other

Enumeration date
06/28/2016
Last updated
02/06/2023
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