Individual
MR. ANTHONY MICHAEL FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
955 N COURT ST, MEDINA, OH 44256-1501
(330) 616-3900
Mailing address
1114 N COURT ST, MEDINA, OH 44256-1579
(330) 600-1221
(559) 272-3232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA13969
CA
363AS0400X
Surgical Physician Assistant
Primary
PA13969
CA
Other
Enumeration date
07/18/2007
Last updated
07/30/2022
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