Organization
W FRASER VIPOND M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W. FRASER VIPOND M.D. (PRESIDENT)
(586) 774-2626
Entity
Organization
Contact information
Practice address
20919 GRATIOT AVE, EASTPOINTE, MI 48021
(586) 774-2626
(586) 774-2340
Mailing address
20919 GRATIOT AVE, EASTPOINTE, MI 48021-2825
(586) 774-2626
(586) 774-2340
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/18/2009
Last updated
06/10/2010
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