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NPI Code Detail

MEDICARE: DR. MICHAEL ELIGIO FRITSCHE D.O.

MEDICARE:  DR. MICHAEL ELIGIO FRITSCHE  D.O.
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician2001019055MO

General Provider Information

NPI Number : 1053413542
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ELIGIO FRITSCHE D.O.
Provider Business Mailing Address
First Line : 625 BEMIS HEIGHTS PL
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-1752
Country : US
Telephone Number : 636-939-9717
Fax Number :
Provider Business Practice Location Address
First Line : 625 BEMIS HEIGHTS PL
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63303-1752
Country : US
Telephone Number : 636-939-9717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL ELIGIO FRITSCHE D.O.” Practice Location

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