Individual
DR. FABIAN L FREGOLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
43455 SCHOENHERR RD, SUITE 2, STERLING HEIGHTS, MI 48313-1951
(586) 726-4823
(586) 726-8365
Mailing address
43455 SCHOENHERR RD, SUITE 2, STERLING HEIGHTS, MI 48313-1951
(586) 726-4823
(586) 726-8365
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4532215
—
MI
Enumeration date
05/19/2006
Last updated
07/08/2007
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