Basic Information
Provider Information
NPI: 1083720015
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRISCH
FirstName: HAROLD
MiddleName: MICHAEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 602373
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282602373
CountryCode: US
TelephoneNumber: 8282131994
FaxNumber: 8282131992
Practice Location
Address1: 449 N WENDOVER RD STE A
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282111064
CountryCode: US
TelephoneNumber: 7043166005
FaxNumber: 7043166006
Other Information
ProviderEnumerationDate: 08/22/2006
LastUpdateDate: 07/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0801X0101239734VAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
207XX0801X2007-01279NCN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
207XX0801X040906GAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
207XX0801XD0059635MDN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
208600000X2007-01279NCN Allopathic & Osteopathic PhysiciansSurgery 
207X00000X2007-01279NCY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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