Provider Demographics
NPI:1487604229
Name:FRISCH, MELVIN JULIUS (MD)
Entity type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:JULIUS
Last Name:FRISCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NICOLLET MALL
Mailing Address - Street 2:SUITE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2500
Mailing Address - Country:US
Mailing Address - Phone:612-333-2503
Mailing Address - Fax:
Practice Address - Street 1:801 NICOLLET MALL
Practice Address - Street 2:SUITE 400
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2500
Practice Address - Country:US
Practice Address - Phone:612-333-2503
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN17719174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP13321OtherHEALTH PARTNERS
MN768553OtherAMERICA'S PPO
MNFP9040284017OtherPREFERRED ONE
MN0700065OtherMEDICA DUAL/MEDICARE MA
MN0704100OtherMEDICA
WI31355400Medicaid
MN379L2FROtherBLUE CROSS BLUE SHIELD
MN379L2FROtherBLUE CROSS BLUE SHIELD
MN0700065OtherMEDICA DUAL/MEDICARE MA