| Michael J. Freedman, Md, P.c. | |
|
24725 W 12 Mile Rd Suite 310 Southfield MI 48034-1801 | |
| (248) 351-0011 | |
| (248) 351-0017 |
| Full Name | Michael J. Freedman, Md, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 24725 W 12 Mile Rd, Southfield, Michigan |
| Authorized Official Name and Position | Michael J Freedman (OWNER) |
| Authorized Official Contact | 2483510011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J. Freedman, Md, P.c. 24725 W 12 Mile Rd Suite 310 Southfield MI 48034-1801 Ph: (248) 351-0011 | Michael J. Freedman, Md, P.c. 24725 W 12 Mile Rd Suite 310 Southfield MI 48034-1801 Ph: (248) 351-0011 |
| NPI Number | 1023117769 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023117769 | NPI | - | NPPES |
| 1373563 | Medicaid | MI | |
| 2606303270 | Other | MI | BCBSM |
| MF028738 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MF028738 (Michigan) | Primary |
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