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Individual

STEPHEN MICHAEL FROSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2601 KENTUCKY AVE STE 301, PADUCAH, KY 42003-3826
(270) 575-3113
(270) 575-3135
Mailing address
2601 KENTUCKY AVE STE 301, PADUCAH, KY 42003-3826
(270) 575-3113
(270) 575-3135

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23964
MS
207R00000X
Internal Medicine Physician
T2636
MS
207RI0011X
Interventional Cardiology Physician
Primary
04843
KY

Other

Enumeration date
09/18/2012
Last updated
12/04/2020
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