Individual
MARYANN T FLEISCHMANN FRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-5122
(989) 422-4378
Mailing address
9249 W LAKE CITY RD, HOUGHTON LAKE, MI 48629-9602
(989) 422-5122
(989) 422-4378
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704132514
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12193120
CAQH
MI
Enumeration date
01/29/2008
Last updated
03/09/2012
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