Individual
DR. ROBERT D. FRITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
12809 S SAGINAW ST, SUITE 114, GRAND BLANC, MI 48439-2416
(810) 695-1588
Mailing address
12809 S SAGINAW ST, SUITE 114, GRAND BLANC, MI 48439-2416
(810) 695-1588
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301001619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620B545140
HEALTH PLUS OF MI
MI
01
—
680B545140
BC/BS
MI
Enumeration date
02/22/2006
Last updated
11/08/2011
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