Individual
KELSIE FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6838 M 93 HWY S, GRAYLING, MI 49738-7766
(989) 348-6600
Mailing address
6838 M 93 HWY S, GRAYLING, MI 49738-7766
(989) 348-6600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7501009847
MI
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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