| Doctor Name: | ETHAN MICHAEL FRUECHTE |
| NPI Number: | 1043313976 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 14416 |
| Business Practice Address: | 3300 Oakdale Ave N Suite 200 Robbinsdale, MN - 554222926 |
| Business Phone Number: | 7635815400 |
| Business Fax Number: | 7635202099 |
| Mailing Address: | 3300 Oakdale Ave N, Suite 200 ROBBINSDALE |
| State: | MN |
| Postal Code: | 554222926 |
| Phone Number: | 7635815400 |
| Fax Number: | 7635202099 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 09/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 14416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |