Provider Demographics
NPI:1124326442
Name:FRONTIER FORENSICS, PA
Entity type:Organization
Organization Name:FRONTIER FORENSICS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FORENSIC PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:KRAG
Authorized Official - Last Name:MICHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-368-2353
Mailing Address - Street 1:320 S KANSAS AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66603-3644
Mailing Address - Country:US
Mailing Address - Phone:785-368-2353
Mailing Address - Fax:785-368-2380
Practice Address - Street 1:320 S KANSAS AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3644
Practice Address - Country:US
Practice Address - Phone:785-368-2353
Practice Address - Fax:785-368-2380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS425034207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic PathologyGroup - Single Specialty