Individual
MARK JOSEPH FROEMKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 W 140TH STREET, SUITE 201, BURNSVILLE, MN 55337
(952) 808-3000
(952) 808-3001
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
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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