Individual
ERIK FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
24 JOLIET ST, DYER, IN 46311-1705
(219) 865-2141
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02005205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300006463
—
IN
Enumeration date
03/09/2013
Last updated
12/12/2017
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