Provider Demographics
NPI:1538117965
Name:FROERER, CHRISTIAN D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:D
Last Name:FROERER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5063 S COTTONWOOD ST STE 400
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6773
Mailing Address - Country:US
Mailing Address - Phone:801-507-1950
Mailing Address - Fax:
Practice Address - Street 1:5063 S COTTONWOOD ST STE 400
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6773
Practice Address - Country:US
Practice Address - Phone:801-507-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT30853121205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT870650936OtherTAX ID
UT870650936OtherTAX ID
UT000012283Medicare ID - Type Unspecified