MEDICARE: DR. ROBBIN W FROST DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	POD221	ME

General Provider Information

NPI Number	:	1902937436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBBIN W FROST DPM

Provider Business Mailing Address
First Line	:	211 TANDBERG TRL
Second Line	:
City	:	WINDHAM
State	:	ME
Zip	:	04062-5100
Country	:	US
Telephone Number	:	207-893-1989
Fax Number	:	207-893-0190

Provider Business Practice Location Address
First Line	:	211 TANDBERG TRL
Second Line	:
City	:	WINDHAM
State	:	ME
Zip	:	04062-5100
Country	:	US
Telephone Number	:	207-893-1989
Fax Number	:	207-893-0190

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

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	08/04/2011

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