Provider / Organization | NPI | Date Certified |
---|---|---|
MILEAH ROSE FRITZELL | 1457934002 | 2021-05-02 |
Mileah Rose Fritzell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457934002. Registration indicates Mileah Rose Fritzell is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Mileah Rose Fritzell DO |
Practice Office Address | 5900 BYRON CENTER AVE SW WYOMING, MI US |
Practice Office Telephone | 6162527200 |
Practice Office Fax | 6162524953 |
Mailing Address | 5900 BYRON CENTER AVE SW WYOMING, MI 495199606 US |
Business Telephone | 6162527200 |
Business Fax | 6162524953 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |