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Individual

DR. SUSAN FRAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
306 E MAUMEE ST STE 303, ANGOLA, IN 46703-2044
(260) 667-5685
(260) 667-5564
Mailing address
416 E MAUMEE ST, ANGOLA, IN 46703-2015
(260) 667-5131
(260) 665-7803

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01050884A
IN
208000000X
Pediatrics Physician
Primary
01050884A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104529434
MI
05
200256660
IN
Enumeration date
08/16/2005
Last updated
01/28/2020
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