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NPI Code Detail

MEDICARE: DR. TROY WILLIAM FRIESEN D.C.

MEDICARE: DR. TROY WILLIAM FRIESEN 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
1111N00000XChiropractor3157MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366559379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TROY WILLIAM FRIESEN D.C.
Provider Business Mailing Address
First Line : 3080 BROOKDALE DR
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55444-1845
Country : US
Telephone Number : 763-566-6401
Fax Number : 763-585-1697
Provider Business Practice Location Address
First Line : 4632 85TH AVE N
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-1957
Country : US
Telephone Number : 763-494-4900
Fax Number : 763-494-4902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/21/2022

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