Individual
KELLY K FRISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 UNIVERSITY AVE W STE 160, SAINT PAUL, MN 55114
(651) 254-5800
Mailing address
8170 33RD AVE S, BLOOMINGTON, MN 55425-4516
(651) 254-5800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035171700
—
MN
Enumeration date
02/15/2006
Last updated
03/19/2020
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