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Individual

HOLLIS M FRITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5775 WAYZATA BOULEVARD, SUITE 190, ST LOUIS PARK, MN 55416
(952) 541-1840
(952) 513-6880
Mailing address
PO BOX 1450 NW6035, MINNEAPOLIS, MN 54485-6035
(952) 542-8553
(952) 513-6880

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30656
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
661285700
MN
Enumeration date
03/01/2006
Last updated
02/06/2012
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