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NPI Code Detail

MEDICARE: MARGARET K FRENS MS, ATC

MEDICARE: MARGARET K FRENS MS, ATC
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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician2601000048MI
22255A2300XAthletic Trainer

General Provider Information

NPI Number : 1417004938
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET K FRENS MS, ATC
Provider Business Mailing Address
First Line : 768 CONCORD DR
Second Line :
City : HOLLAND
State : MI
Zip : 49423-4543
Country : US
Telephone Number : 616-836-5243
Fax Number : 888-608-4834
Provider Business Practice Location Address
First Line : 494 W 17TH ST UNIT 2
Second Line :
City : HOLLAND
State : MI
Zip : 49423-3437
Country : US
Telephone Number : 616-836-5243
Fax Number : 888-608-4834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 09/30/2020

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