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NPI Code Detail

MEDICARE: DR. JAYSUN GREGORY FRISCH MD

MEDICARE:  DR. JAYSUN GREGORY FRISCH  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
12083A0100XAerospace Medicine Physician1366NE
2207P00000XEmergency Medicine Physician1366NE

General Provider Information

NPI Number : 1306935853
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAYSUN GREGORY FRISCH MD
Provider Business Mailing Address
First Line : 2510 5TH ST
Second Line :
City : DAYTON
State : OH
Zip : 45433-7951
Country : US
Telephone Number : 937-938-2727
Fax Number :
Provider Business Practice Location Address
First Line : 2510 5TH ST
Second Line :
City : DAYTON
State : OH
Zip : 45433-7951
Country : US
Telephone Number : 937-938-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 09/12/2023

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Directions to “ DR. JAYSUN GREGORY FRISCH MD” Practice Location

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