Individual
TESSA FREDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
136 CASS AVE, MOUNT CLEMENS, MI 48043-2230
(586) 468-4211
Mailing address
42327 LITTLE RD, CLINTON TWP, MI 48036-1431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005642
MI
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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