MEDICARE: DR. MICHAEL J FRINK D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH00002811	WA

General Provider Information

NPI Number	:	1295804755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J FRINK D.C.

Provider Business Mailing Address
First Line	:	31704 26TH AVE E
Second Line	:
City	:	GRAHAM
State	:	WA
Zip	:	98338-9611
Country	:	US
Telephone Number	:	253-846-2322
Fax Number	:

Provider Business Practice Location Address
First Line	:	18407 PACIFIC AVE S STE 11A
Second Line	:
City	:	SPANAWAY
State	:	WA
Zip	:	98387-8375
Country	:	US
Telephone Number	:	253-847-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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