Organization
MARY WLODYGA FRYE DC
Active
Other names
First Chiropractic Life Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY W. FRYE D.C. (OWNER)
(586) 573-6622
Entity
Organization
Contact information
Practice address
12445 E 12 MILE RD, WARREN, MI 48093-3572
(586) 573-6622
(586) 573-6323
Mailing address
12445 E 12 MILE RD, WARREN, MI 48093-3572
(586) 573-6622
(586) 573-6323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E013460
BCBS MICHIGAN
MI
Enumeration date
03/28/2007
Last updated
06/18/2008
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