Individual
KELCY ELIZABETH FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(517) 581-5798
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704300588
MI
363LA2200X
Adult Health Nurse Practitioner
4704300588
MI
Other
Enumeration date
07/29/2024
Last updated
10/23/2024
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