Individual
MARK JOSEPH FROEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7504
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206G2FR
BLUE CROSS BLUE SHIELD
MN
01
—
6405342
MEDICA
MN
01
—
969991030949
PREFERREDONE
—
01
—
HP49609
HEALTHPARTNERS
MN
Enumeration date
07/26/2006
Last updated
07/10/2007
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