Frimodig, Mindy Maria

Frimodig, Mindy Maria is an individual health care provider with primary practice located at 100 County Road B , Shawano WI 54166-7072. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Frimodig, Mindy Maria can be contacted via phone (715) 524-2161.

Contact Information

Primary practice address
100 County Road B Shawano WI 54166-7072
Phone: (715) 524-2161
Fax: (715) 524-8164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101016029 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 50520 Wisconsin

Profile Details

NPI number 1013044833
LBN Legal business name Frimodig, Mindy Maria
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Mar 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013044833 NPPES
Wisconsin Other 450030723 MEDICARE PTAN

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