Individual
MEGAN FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 S IVA RD, SAINT CHARLES, MI 48655-9754
(989) 293-0487
Mailing address
5609 S IVA RD, SAINT CHARLES, MI 48655-9754
(989) 293-0487
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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