Individual
MARK D FROEMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N EDWARDS ST, ANESTHESIA DEPT., ENTERPRISE, AL 36330-2510
(334) 393-8700
Mailing address
PO BOX 36, COLUMBUS, GA 31902-0036
(334) 393-8700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9254
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911139
—
AL
05
—
051514780
—
AL
05
—
051522937
—
AL
01
—
051540783
BCBS OF AL
AL
01
—
51514780
BLUE SHIELD
AL
01
—
51522937
BLUE SHIELD
AL
01
—
P00134987
PALMETTO GBA
—
Enumeration date
05/10/2006
Last updated
03/03/2009
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