Individual
DR. ELLIOTT FRAIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44555 WOODWARD AVE, SUITE NUMBER 304, PONTIAC, MI 48341-5031
(248) 858-3878
(248) 858-3813
Mailing address
44555 WOODWARD AVE, SUITE NUMBER 304, PONTIAC, MI 48341-5031
(248) 858-3878
(248) 858-3813
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
EF029336
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1090479
—
MI
01
—
P46690
BLUE CARE NETWORK
MI
Enumeration date
08/09/2005
Last updated
09/11/2007
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