Individual
DR. FRAZER A WADENSTORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
G3252 BEECHER RD, FLINT, MI 48532-3614
(810) 230-6800
(810) 230-0713
Mailing address
G3252 BEECHER RD, FLINT, MI 48532-3614
(810) 230-6800
(810) 230-0713
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
4301043067
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1661406
—
MI
Enumeration date
07/28/2005
Last updated
11/13/2009
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