Individual
JEREMY FRITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
21355 E CHIPMUNK TRL, WOODHAVEN, MI 48183-5211
(734) 759-7675
Mailing address
21355 E CHIPMUNK TRL, WOODHAVEN, MI 48183-5211
(734) 759-7675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704312580NSA230C9
MI
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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