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Individual

MICHAEL D FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
225 SMITH AVE N, SUITE 201, SAINT PAUL, MN 55102-2697
(651) 241-5290
(651) 241-5248
Mailing address
225 SMITH AVE N, SUITE 201, SAINT PAUL, MN 55102-2697
(651) 241-5290
(651) 241-5248

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35032
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
665580700
MN
Enumeration date
08/04/2006
Last updated
05/02/2012
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