Individual
DR. EDWARD MARTIN FRATTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
22701 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2007
(586) 777-6056
(585) 775-7246
Mailing address
22701 GREATER MACK AVE, SAINT CLAIR SHORES, MI 48080-2007
(586) 777-6056
(585) 775-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004723
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E05199
BCBS
MI
05
—
141979434
—
MI
01
—
TR077
PPOM
MI
Enumeration date
10/03/2005
Last updated
11/30/2010
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