Individual
IRA STANLEY FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 W KING ST STE LL, OWOSSO, MI 48867-2116
(989) 729-4292
(989) 725-9012
Mailing address
818 W KING ST STE LL, OWOSSO, MI 48867-2116
(989) 729-4292
(989) 725-9012
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301088664
MI
207VG0400X
Gynecology Physician
4301088664
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184846354
—
MI
Enumeration date
05/03/2007
Last updated
06/02/2022
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