Individual
DR. FRED ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Mailing address
1540 LAKE LANSING RD, STE 201, LANSING, MI 48912-3756
(517) 913-3900
(517) 913-3901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M21440002
MEDICARE PLUS BLUE
MI
01
—
1001087
MCLAREN HEALTH ADVANTAGE
MI
01
—
110119711
RAILROAD MEDICARE
MI
01
—
1103315702
BCBS/BCN
MI
01
—
200000002148
PHP
MI
05
—
4083594
—
MI
01
—
4453082
AETNA
MI
05
—
4848140
—
MI
Enumeration date
05/24/2006
Last updated
09/22/2009
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