| Doctor Freeman | |
|
23 Doctors Park Cape Girardeau MO 63703 | |
| (573) 332-0700 | |
| Not Available |
| Full Name | Doctor Freeman |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 Doctors Park, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Michael Freeman (OWNER) |
| Authorized Official Contact | 5733320700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Freeman 23 Doctors Park Cape Girardeau MO 63703-4927 Ph: (573) 332-0700 | Doctor Freeman 23 Doctors Park Cape Girardeau MO 63703 Ph: (573) 332-0700 |
| NPI Number | 1265926562 |
|---|---|
| Provider Enumeration Date | 06/20/2018 |
| Last Update Date | 06/27/2018 |
| Medicare PECOS PAC ID | 8022366608 |
|---|---|
| Medicare Enrollment ID | O20180731000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265926562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Deborah K Schlick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659401933 PECOS PAC ID: 9931198199 Enrollment ID: I20040511001573 |
| Provider Name | Michael R Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851361455 PECOS PAC ID: 9739250010 Enrollment ID: I20080613000127 |
| Provider Name | Michele L Tanz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013222983 PECOS PAC ID: 2466578463 Enrollment ID: I20100928000387 |
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