Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41046 | WI |
N | 111NI0900X | Internist | 41046 | WI |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 41046 | WI |
NPI | 1013018704 |
---|---|
Provider Name | Mary K Frohnauer |
First Address | La Crosse, WI 54601-5429 |
Second Address | La Crosse, WI 54601-5429 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 14/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32572300 | (05) | WI |
G98024 | (02) |