Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD60578593 | WA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | MD60578593 | WA |
NPI | 1093732182 |
---|---|
Provider Name | Kurt E Frauenpreis |
First Address | Dayton, WA 99328 |
Second Address | Dayton, WA 99328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 11/08/2015 |