MEDICARE: BARBARA A FRETWELL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	BF048529	MI

General Provider Information

NPI Number	:	1578561429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA A FRETWELL MD

Provider Business Mailing Address
First Line	:	3955 PATIENT CARE WAY
Second Line	:	SUITE A
City	:	LANSING
State	:	MI
Zip	:	48911-4299
Country	:	US
Telephone Number	:	517-374-7600
Fax Number	:	517-374-1126

Provider Business Practice Location Address
First Line	:	3955 PATIENT CARE WAY
Second Line	:	SUITE A
City	:	LANSING
State	:	MI
Zip	:	48911-4299
Country	:	US
Telephone Number	:	517-374-7600
Fax Number	:	517-374-1126

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/11/2007

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