Individual
FREDRICK S JUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18181 OAKWOOD BLVD STE 403, DEARBORN, MI 48124-3960
(313) 438-5560
(313) 438-5575
Mailing address
29275 NORTHWESTERN HWY, STE 100, SOUTHFIELD, MI 48034
(248) 784-3667
(248) 869-3982
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301067029
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FJ067029
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/21/2006
Last updated
04/28/2024
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