Individual
SHAUN D FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(952) 883-7172
(952) 883-5395
Mailing address
8100 34TH AVE S, BLOOMINGTON, MN 55425-1672
(952) 883-7172
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46548
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839657400
—
MN
Enumeration date
02/08/2006
Last updated
07/31/2009
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