Individual
FREDERIC SHAW JOYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
203719
NY
208600000X
Surgery Physician
203719
NY
208600000X
Surgery Physician
MD2020-0127
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101284215
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301503163
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01665672
—
NY
Enumeration date
05/27/2006
Last updated
12/13/2024
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