Individual
FREDERICK P MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19251 MACK AVE, GROSSE POINTE WOODS, MI 48236-2893
(313) 343-3749
(313) 343-7921
Mailing address
19251 MACK AVE, GROSSE POINTE WOODS, MI 48236-2893
(313) 343-7280
(313) 343-7921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101008128
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3368642
—
MI
Enumeration date
08/30/2005
Last updated
02/17/2011
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