Provider Demographics
NPI:1326335399
Name:FRONCZAK, CAROLYN M (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:M
Last Name:FRONCZAK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:955 WHITE HAWK RANCH DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1683
Mailing Address - Country:US
Mailing Address - Phone:720-939-1922
Mailing Address - Fax:
Practice Address - Street 1:4943 STATE HIGHWAY 52
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80514
Practice Address - Country:US
Practice Address - Phone:303-558-4995
Practice Address - Fax:303-345-6005
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-28
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0058789208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology