Individual
FREDERIC SUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 NAOMI ST, PLAINWELL, MI 49080-1222
(269) 685-6811
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
(269) 552-4836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301069593
MI
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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