| Doctor Name: | DR. FERNANDO EDUARDO FRONTERA |
| NPI Number: | 1477748432 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301082722 |
| Business Practice Address: | 3310 W Big Beaver Rd Suite 137 Troy, MI - 480842809 |
| Business Phone Number: | 2487925200 |
| Business Fax Number: | 2487124214 |
| Mailing Address: | 3310 W Big Beaver Rd, Suite 137 TROY |
| State: | MI |
| Postal Code: | 480842809 |
| Phone Number: | 2487925200 |
| Fax Number: | 2487124214 |
| NPI Enumeration Date: | 09/12/2007 |
| NPI Last Update Date: | 10/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301082722 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |