Organization
MEDLAW QUALITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN FRAZIER FNP-C (ADMINISTRATOR)
(313) 405-3195
Entity
Organization
Contact information
Practice address
195 W 9 MILE RD STE 207, FERNDALE, MI 48220-1750
(313) 405-3195
Mailing address
195 W 9 MILE RD STE 207, FERNDALE, MI 48220-1750
(313) 405-3195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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