Provider Demographics
NPI:1801998638
Name:FRAPPIER, MICHAEL R (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:FRAPPIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:G3037 FLUSHING RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-4367
Mailing Address - Country:US
Mailing Address - Phone:810-234-4618
Mailing Address - Fax:810-234-7436
Practice Address - Street 1:G3037 FLUSHING RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4367
Practice Address - Country:US
Practice Address - Phone:810-234-4618
Practice Address - Fax:810-234-7436
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101007549207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4081633Medicaid
E26355Medicare UPIN
MIM23560026Medicare PIN