Healthcare Provider Details

I. General information

NPI: 1598954802
Provider Name (Legal Business Name): AKRAM M. FRAM, M.D, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 DAVIS LAKE RD SUITE A
LAPEER MI
48446-1485
US

IV. Provider business mailing address

PO BOX 38
LAPEER MI
48446-0038
US

V. Phone/Fax

Practice location:
  • Phone: 810-664-8822
  • Fax:
Mailing address:
  • Phone: 810-664-8822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberAF049186
License Number StateMI

VIII. Authorized Official

Name: DR. AKRAM M FRAM
Title or Position: OWNER
Credential: M.D
Phone: 810-664-8822