| Doctor Name: | TRENT JOHN FRAHM |
| NPI Number: | 1528310489 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 26 6th Ave N Suite 370 Saint Cloud, MN - 563034558 |
| Business Phone Number: | 3202570066 |
| Business Fax Number: | 3202570099 |
| Mailing Address: | 26 6th Ave N, Suite 370 SAINT CLOUD |
| State: | MN |
| Postal Code: | 563034558 |
| Phone Number: | 3202570066 |
| Fax Number: | 3202570099 |
| NPI Enumeration Date: | 10/02/2012 |
| NPI Last Update Date: | 10/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |