| Rosemary Frazel Llc | |
|
3011 36th Ave S Ste 7 Minneapolis MN 55406-2800 | |
| (612) 351-4846 | |
| (844) 697-0643 |
| Full Name | Rosemary Frazel Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3011 36th Ave S Ste 7, Minneapolis, Minnesota |
| Authorized Official Name and Position | Rosemary Frazel (OWNER) |
| Authorized Official Contact | 6123514846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemary Frazel Llc 3011 36th Ave S Ste 7 Minneapolis MN 55406-2800 Ph: (612) 351-4846 | Rosemary Frazel Llc 3011 36th Ave S Ste 7 Minneapolis MN 55406-2800 Ph: (612) 351-4846 |
| NPI Number | 1629597570 |
|---|---|
| Provider Enumeration Date | 09/12/2017 |
| Last Update Date | 02/01/2023 |
| Certification Date | 02/01/2023 |
| Medicare PECOS PAC ID | 9931577905 |
|---|---|
| Medicare Enrollment ID | O20230131000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629597570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 22887 (Minnesota) | Primary |
| Provider Name | Rosemary Frazel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659817237 PECOS PAC ID: 0840668810 Enrollment ID: I20230131000756 |
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