Fritock, Maria De Los Angeles

Fritock, Maria De Los Angeles is an individual health care provider with primary practice located at 200 1St St Sw , Rochester MN 55905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Fritock, Maria De Los Angeles can be contacted via phone (507) 284-2511.

Contact Information

Primary practice address
200 1St St Sw Rochester MN 55905
Phone: (507) 284-2511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 102165 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2009-00448 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 48273 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X C155002 California

Profile Details

NPI number 1447222955
LBN Legal business name Fritock, Maria De Los Angeles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jun 12th, 2018 - about 8 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 1447222955 NPPES
Minnesota MEDICAID 373104900
Minnesota MEDICAID 35225300
Minnesota Other P01011923
Minnesota MEDICAID ENROLLED

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