Provider Demographics
NPI:1578988366
Name:FRACH, AARON MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:FRACH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13352 ABERDEEN STREET NE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HAM LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55304-6877
Mailing Address - Country:US
Mailing Address - Phone:763-786-5585
Mailing Address - Fax:763-786-1003
Practice Address - Street 1:13352 ABERDEEN STREET NE
Practice Address - Street 2:SUITE A
Practice Address - City:HAM LAKE
Practice Address - State:MN
Practice Address - Zip Code:55304-6877
Practice Address - Country:US
Practice Address - Phone:763-786-5585
Practice Address - Fax:763-786-1003
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5902111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor