Individual
MICAH RYAN FRITSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 S UNIVERSITY AVE STE 101, LITTLE ROCK, AR 72205-5314
(501) 664-3914
(501) 664-5246
Mailing address
500 S UNIVERSITY AVE STE 101, LITTLE ROCK, AR 72205-5314
(501) 664-3914
(501) 664-5246
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E-12138
AR
2085R0202X
Diagnostic Radiology Physician
R6193
TX
Other
Enumeration date
04/08/2013
Last updated
10/30/2019
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