Provider Demographics
NPI:1336279926
Name:FROEHLING, NICHOLAS JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOHN
Last Name:FROEHLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 SUNSET DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SPRING PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55384-4540
Mailing Address - Country:US
Mailing Address - Phone:320-282-8155
Mailing Address - Fax:
Practice Address - Street 1:2060 WEST WAYZATA BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:ORONO
Practice Address - State:MN
Practice Address - Zip Code:55356
Practice Address - Country:US
Practice Address - Phone:952-746-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5096111N00000X
CA30767111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor