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Individual

DR. RUSSELL BRIAN FRIDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2196
(616) 456-0842
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2196

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101023239
MI
2084P0800X
Psychiatry Physician
5151009728
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5101026596
MI

Other

Enumeration date
06/14/2017
Last updated
07/21/2022
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