Froelich, Jerry Walter
Froelich, Jerry Walter is an individual health care provider with primary practice located at 516 Delaware St Se Univ.Of Mn Physicians, Pwb First Floor, Clinic 1D, Minneapolis MN 55455-0356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Froelich, Jerry Walter can be contacted via phone (612) 273-6004.Contact Information
Primary practice address
516 Delaware St Se Univ.Of Mn Physicians, Pwb First Floor, Clinic 1D
Minneapolis MN 55455-0356
Phone: (612) 273-6004
Fax: (612) 273-8459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 44437 | Minnesota |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 44437 | Minnesota |
Profile Details
| NPI number | 1093744120 |
|---|---|
| LBN Legal business name | Froelich, Jerry Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093744120 | NPPES |
| Minnesota | Other | HP34061 | HEALTHPARTNERS |
| Minnesota | Other | 236323 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 10387 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 0571968 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 0068000 | HEALTHPARTNERS |
| Minnesota | Other | 1029764 | HEALTHPARTNERS |
| Minnesota | Other | 16-02032 | HEALTHPARTNERS |
| Minnesota | Other | 16-02745 | HEALTHPARTNERS |
| Minnesota | Other | 170259 | HEALTHPARTNERS |
| Minnesota | MEDICAID | 7777470 | HEALTHPARTNERS |
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