MEDICARE: DR. BRIAN FROL MD

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	207Q00000X	Family Medicine Physician	BF046396	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	134150	OTHER	MI	CARE CHOICES
2	5802218	OTHER	MI	AETNA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	B47346	OTHER	MI	HAP

General Provider Information

NPI Number	:	1942209671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN FROL MD

Provider Business Mailing Address
First Line	:	8555 N SILVERY LN
Second Line	:	SUITE C302
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1379
Country	:	US
Telephone Number	:	313-561-0550
Fax Number	:	313-561-3646

Provider Business Practice Location Address
First Line	:	8555 N SILVERY LN
Second Line	:	SUITE C302
City	:	DEARBORN HEIGHTS
State	:	MI
Zip	:	48127-1379
Country	:	US
Telephone Number	:	313-561-0550
Fax Number	:	313-561-3646

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	10/16/2007

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Directions to “ DR. BRIAN FROL MD” Practice Location

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