Whalio Doctors

NPI 1134120629

Elliott Fraiberg, MD

Practitioner Legal Medicine Pontiac, MI

Practice location

Address
44555 Woodward Ave Suite Number 304, Pontiac, MI 48341-5031
Phone
(248) 858-3878
Fax
(248) 858-3813

Registered specialties

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence EF029336 (MI)

Registry record

NPI
1134120629
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Aug 2005
Record last updated
11 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.