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Individual

MICHAEL J FROSTAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1205 SE PROFESSIONAL MALL BLVD, SUITE104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754
Mailing address
1205 SE PROFESSIONAL MALL BLVD, SUITE104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M-8243
ID
208000000X
Pediatrics Physician
Primary
MD00039818
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015364
WA
05
8275828
WA
Enumeration date
11/22/2005
Last updated
07/09/2025
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