Individual
JULIE FRESARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7510
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-7510
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1241614
MI
Other
Enumeration date
05/26/2009
Last updated
08/08/2012
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