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NPI Code Detail

MEDICARE: JAMES ANDREW FROELICH M.D.

MEDICARE:   JAMES ANDREW FROELICH  M.D.
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
1208600000XSurgery Physician023655LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1023655OTHERLALA. STATE MEDICAL LICENSE

General Provider Information

NPI Number : 1487647830
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ANDREW FROELICH M.D.
Provider Business Mailing Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4326
Country : US
Telephone Number : 225-769-4044
Fax Number :
Provider Business Practice Location Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4326
Country : US
Telephone Number : 225-769-4044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 03/02/2017

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