Provider Demographics
NPI:1679834097
Name:FRITH, JOHN ALEXANDER (DO)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALEXANDER
Last Name:FRITH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:23133 ORCHARD LAKE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48336-3279
Mailing Address - Country:US
Mailing Address - Phone:248-893-7423
Mailing Address - Fax:833-509-2247
Practice Address - Street 1:23133 ORCHARD LAKE RD STE 202
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MI
Practice Address - Zip Code:48336-3279
Practice Address - Country:US
Practice Address - Phone:248-893-7423
Practice Address - Fax:833-509-2247
Is Sole Proprietor?:No
Enumeration Date:2012-06-01
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101019989174400000X, 207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine