Provider Demographics
NPI:1942259593
Name:FRENNING, DANIEL H (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:FRENNING
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 1:1001 HART BLVD
Mailing Address - Street 2:SUITE 50
Mailing Address - City:MONTICELLO
Mailing Address - State:MN
Mailing Address - Zip Code:55362-8670
Mailing Address - Country:US
Mailing Address - Phone:763-271-2800
Mailing Address - Fax:763-271-2820
Practice Address - Street 1:1001 HART BLVD
Practice Address - Street 2:SUITE 50
Practice Address - City:MONTICELLO
Practice Address - State:MN
Practice Address - Zip Code:55362-8670
Practice Address - Country:US
Practice Address - Phone:763-271-2800
Practice Address - Fax:763-271-2820
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN20354174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
110006409Medicare ID - Type Unspecified
A95418Medicare UPIN