Individual
DOUGLAS L FRAREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3142 GLADE ST, MUSKEGON, MI 49444-2706
(231) 739-8752
Mailing address
3142 GLADE ST, MUSKEGON, MI 49444-2706
(231) 739-8752
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1677783
—
MI
Enumeration date
08/23/2006
Last updated
11/16/2011
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