Provider Demographics
NPI:1598727240
Name:FRENZ, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:FRENZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:SUITE 1451
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2606
Mailing Address - Country:US
Mailing Address - Phone:612-404-2510
Mailing Address - Fax:651-925-0360
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:SUITE 1451
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2606
Practice Address - Country:US
Practice Address - Phone:612-404-2510
Practice Address - Fax:651-925-0360
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2021-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN44692207Q00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH73030Medicare UPIN