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Individual

THEODORE D. FRAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-4967
(614) 293-5614
Mailing address
700 ACKERMAN RD, SUITE 385, COLUMBUS, OH 43202-1559
(614) 947-3700
(614) 947-3771

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35037345
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0401569
OH
Enumeration date
07/28/2006
Last updated
01/05/2010
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