Individual
DR. JOHN W FROGGATT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4535
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 985-4632
(269) 985-4535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301073475
MI
207RI0200X
Infectious Disease Physician
4301073475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110203683
RAILROAD MEDICARE
MI
01
—
1538397120
GROUP NPI
MI
01
—
270381199
TAX ID
MI
05
—
4382637
—
MI
01
—
4401102601
BLUE CROSS
MI
01
—
7501303
CIGNA
MI
01
—
92-30009
PHP
MI
Enumeration date
06/28/2006
Last updated
05/02/2024
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