Provider Demographics
NPI:1437044989
Name:FRETZ, ABRIELLE
Entity type:Individual
Prefix:
First Name:ABRIELLE
Middle Name:
Last Name:FRETZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 E KIRBY ST APT 711
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-4041
Mailing Address - Country:US
Mailing Address - Phone:734-730-4078
Mailing Address - Fax:
Practice Address - Street 1:15 E KIRBY ST APT 711
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-4041
Practice Address - Country:US
Practice Address - Phone:734-730-4078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program