Individual
KIRK A FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL ROOM B1G412, ANN ARBOR, MI 48109-5028
(734) 936-5090
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
4301405130
MI
2084N0400X
Neurology Physician
Primary
4301405130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1989332
—
MI
Enumeration date
09/28/2006
Last updated
03/09/2012
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