Provider Demographics
NPI:1295911279
Name:FRINZL, DENNIS ALBERT (PA-C)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:ALBERT
Last Name:FRINZL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4450 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1126
Mailing Address - Country:US
Mailing Address - Phone:216-431-0927
Mailing Address - Fax:216-431-6333
Practice Address - Street 1:4450 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-1126
Practice Address - Country:US
Practice Address - Phone:216-431-0927
Practice Address - Fax:216-431-6333
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50000253363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical