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NPI Code Detail

MEDICARE: STEPHEN FREY MD

MEDICARE:   STEPHEN  FREY  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
1207P00000XEmergency Medicine Physician4301050363MI

Other Identifiers

General Provider Information

NPI Number : 1780642058
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN FREY MD
Provider Business Mailing Address
First Line : 301 N MAIN ST
Second Line :
City : SHERIDAN
State : MI
Zip : 48884-9235
Country : US
Telephone Number : 989-291-3261
Fax Number : 989-291-6121
Provider Business Practice Location Address
First Line : 301 N MAIN ST
Second Line :
City : SHERIDAN
State : MI
Zip : 48884-9235
Country : US
Telephone Number : 989-291-3261
Fax Number : 989-291-6121
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 09/08/2021

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Directions to “ STEPHEN FREY MD” Practice Location

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