Matthew Frericks, ATC, OTC

NPI 1659704492 · on the registry since 2013

Practice

Address: 710 Commerce Dr
Woodbury, MN 55125
Phone: (651) 968-5000
Organisation at this address: Summit Orthopedics Ltd
Summit Orthopedics, Ltd
Vadnais Heights Surgery Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Also registered as: 246ZC0007X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota