Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125-051105 | IL |
N | 207X00000X | Orthopaedic Surgeon | 51021 | CO |
N | 207X00000X | Orthopaedic Surgeon | 54419 | MN |
N | 207XS0106X | Orthopaedic Hand Surgeon | 105502 | MN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 51021 | CO |
NPI | 1225241003 |
---|---|
Provider Name | John Froelich |
First Address | Golden, CO 80401-9541 |
Second Address | Golden, CO 80401-9541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 24/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11635339 | (05) | CO |