Individual
JOHN BERNARD FRASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21699 BEDFORD DR, NORTHVILLE, MI 48167-2103
(734) 837-6418
Mailing address
21699 BEDFORD DR, NORTHVILLE, MI 48167-2103
(734) 837-6418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801046467
MI
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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