Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 4301099151 | MI |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 036.140311 | IL |
NPI | 1093002214 |
---|---|
Provider Name | Dr. Nicholas B Frisch |
First Address | Lake Angelus, MI 48326-1034 |
Second Address | Detroit, MI 48202-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2011 |
Last Update Date | 08/04/2021 |