Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | DP00322 | OR |
Y | 222Z00000X | Podiatrist | DP00322 | OR |
NPI | 1003811894 |
---|---|
Provider Name | Dr. Monika Froehlich |
First Address | Grants Pass, OR 97527 |
Second Address | Grants Pass, OR 97527 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
226402 | (05) | OR |
U80535 | (02) |