# JEFFREY FREDERICK DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316020357
- **Authorized official:** JEFFREY FREDERICK D.P.M. (DOCTOR)
- **Authorized official phone:** (248) 545-0100

## Contact information

- **Practice address:** 30005 FOREST DR, FRANKLIN, MI 48025-1580
- **Practice address phone:** (248) 514-2604
- **Mailing address:** 27901 WOODWARD AVE, SUITE 110, BERKLEY, MI 48072-0919
- **Mailing address phone:** (248) 545-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | JF001355 | MI | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 05/10/2023