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Individual

DR. DAVID GORDON FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DF007503
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2054106025
BLUE CROSS BLUE SHIELD
MI
05
2747523
MI
01
DF007503
STATE LICENSE NUMBER
MI
Enumeration date
10/17/2005
Last updated
02/26/2008
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