| Mitchell O Fremstad, FNP | |
|
200 1st St Sw, Rochester, MN 55905-5200 | |
| (507) 284-2511 | |
| Not Available |
| Full Name | Mitchell O Fremstad |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 200 1st St Sw, Rochester, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023689783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 10939 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 10939 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 8553 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740239557 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000112 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912958026 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000215 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700837812 PECOS PAC ID: 4385553627 Enrollment ID: O20171012001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell O Fremstad, FNP 200 1st St Sw, Rochester, MN 55905-0002 Ph: (507) 284-2511 | Mitchell O Fremstad, FNP 200 1st St Sw, Rochester, MN 55905-5200 Ph: (507) 284-2511 |