| Daniel P Freeman Md Pc | |
|
900 E Michigan Ave Ste 102 Jackson MI 49201-2490 | |
| (517) 788-8408 | |
| Not Available |
| Full Name | Daniel P Freeman Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 900 E Michigan Ave Ste 102, Jackson, Michigan |
| Authorized Official Name and Position | Daniel P Freeman (OWNER) |
| Authorized Official Contact | 5177888408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel P Freeman Md Pc 900 E Michigan Ave Ste 102 Jackson MI 49201-2490 Ph: (517) 788-8408 | Daniel P Freeman Md Pc 900 E Michigan Ave Ste 102 Jackson MI 49201-2490 Ph: (517) 788-8408 |
| NPI Number | 1255520573 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 3779545975 |
|---|---|
| Medicare Enrollment ID | O20041030000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255520573 | NPI | - | NPPES |
| 3238577 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301055814 (Michigan) | Primary |
| Provider Name | Daniel P Freeman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336107374 PECOS PAC ID: 1456313378 Enrollment ID: I20041108000129 |
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