Individual
JASON THOMAS FRONTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1121 E MCNICHOLS RD, DETROIT, MI 48203-2857
(313) 365-3113
Mailing address
35910 HAWTHORNE DR, CLINTON TWP, MI 48035-6203
(586) 242-7180
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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