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Individual

DR. STACY ANN FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
4301090364
MI
208000000X
Pediatrics Physician
Primary
4301090364
MI
2080S0010X
Pediatric Sports Medicine Physician
4301090364
MI

Other

Enumeration date
07/02/2007
Last updated
02/13/2026
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