Individual
DR. FREDERICK F BRONIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2333 BIDDLE ST, WYANDOTTE, MI 48192-4668
(313) 284-9400
Mailing address
9360 STONEHOUSE AVE, LIVONIA, MI 48150-3454
(248) 719-4012
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
008243
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4266852
—
MI
05
—
4832740
—
MI
01
—
FB008243
BC/BS
MI
Enumeration date
06/13/2006
Last updated
11/22/2012
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