Individual
DR. FREDERICK F FAES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5865 WHITMORE LAKE RD, BRIGHTON, MI 48116-1945
(810) 227-5640
Mailing address
5865 WHITMORE LAKE RD, BRIGHTON, MI 48116-1945
(810) 227-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FF002662
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900D76504
BLUE CROSS
MI
01
—
VCM0013
UOF M HMO
MI
Enumeration date
02/28/2007
Last updated
07/08/2007
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