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Individual

JOHN GLEN FROWNFELTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16001 W 9 MILE RD, DEPT OF INTERNAL MEDICINE, SOUTHFIELD, MI 48075-4818
(248) 849-3152
(248) 849-3230
Mailing address
25925 TELEGRAPH RD, 210, SOUTHFIELD, MI 48034-2518
(248) 746-0342
(248) 746-0308

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301061866
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301061866
CONTROLLED SUBSTANCE
MI
Enumeration date
07/12/2005
Last updated
03/07/2023
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