Provider Demographics
NPI:1851564694
Name:FREDERICK R. ARMENTI, M.D., P.C.
Entity Type:Organization
Organization Name:FREDERICK R. ARMENTI, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:ROGER
Authorized Official - Last Name:ARMENTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-733-6530
Mailing Address - Street 1:G3346 BEECHER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3649
Mailing Address - Country:US
Mailing Address - Phone:810-733-6530
Mailing Address - Fax:810-733-6737
Practice Address - Street 1:G3346 BEECHER RD
Practice Address - Street 2:SUITE A
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3649
Practice Address - Country:US
Practice Address - Phone:810-733-6530
Practice Address - Fax:810-733-6737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFA062911208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4502842Medicaid
MI4502842Medicaid