Individual
FREDRICK LOUIS BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 BAGLEY ST, SUITE 700, DETROIT, MI 48226-1400
(313) 961-0346
Mailing address
220 BAGLEY ST., SUITE 700, DETROIT, MI 48226
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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