Individual
MR. JOHN L FREDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-1301
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-1301
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704320882
MI
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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