Provider Demographics
NPI:1942475454
Name:FRANK, NICHOLAS DARYL (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:DARYL
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1450 NW6035
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55485-1450
Mailing Address - Country:US
Mailing Address - Phone:952-542-8553
Mailing Address - Fax:952-513-6880
Practice Address - Street 1:5775 WAYZATA BOULEVARD
Practice Address - Street 2:SUITE 140
Practice Address - City:ST. LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-2660
Practice Address - Country:US
Practice Address - Phone:952-738-4477
Practice Address - Fax:952-543-6524
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2019-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN548122085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology