Provider Demographics
NPI:1669578514
Name:FROEHLKE, ROBERT GREGORY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:GREGORY
Last Name:FROEHLKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:206 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2318
Mailing Address - Country:US
Mailing Address - Phone:303-791-9999
Mailing Address - Fax:303-791-2778
Practice Address - Street 1:8340 SANGRE DE CRISTO RD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4248
Practice Address - Country:US
Practice Address - Phone:303-979-1234
Practice Address - Fax:303-979-1234
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46095208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO87259567Medicaid