Individual
DR. FREDERICK LUDWIG JARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 304, SOUTHFIELD, MI 48075-4825
(248) 569-4366
(248) 569-4614
Mailing address
22250 PROVIDENCE DR, SUITE 304, SOUTHFIELD, MI 48075-4825
(248) 569-4366
(248) 569-4614
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301028741
MI
Other
Enumeration date
12/09/2005
Last updated
07/21/2008
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