| Doctor Name: | DR. DANIELLA FREMSTAD |
| NPI Number: | 1457645319 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 972 |
| Business Practice Address: | Bldg 170 Mary E. Walker Center Pediatrics Fort Irwin, CA - 92310 |
| Business Phone Number: | 7603807343 |
| Business Fax Number: | |
| Mailing Address: | Box 105109, Mary E. Walker Center Pediatrics FORT IRWIN |
| State: | CA |
| Postal Code: | 92310 |
| Phone Number: | 7603807343 |
| Fax Number: | |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 02/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |