The Freeman Clinic | |
23 Doctors Park Cape Girardeau MO 63703 | |
(573) 332-0700 | |
Not Available |
Full Name | The Freeman Clinic |
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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 |
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The Freeman Clinic 23 Doctors Park Cape Girardeau MO 63703-4927 Ph: (573) 332-0700 | The Freeman Clinic 23 Doctors Park Cape Girardeau MO 63703 Ph: (573) 332-0700 |
NPI Number | 1265926562 |
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Provider Enumeration Date | 06/20/2018 |
Last Update Date | 06/27/2018 |
Medicare PECOS PAC ID | 8022366608 |
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Medicare Enrollment ID | O20180731000482 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265926562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Deborah K Schlick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659401933 PECOS PAC ID: 9931198199 Enrollment ID: I20040511001573 |
Provider Name | Michael R Freeman |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1851361455 PECOS PAC ID: 9739250010 Enrollment ID: I20080613000127 |
Provider Name | Michele L Tanz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013222983 PECOS PAC ID: 2466578463 Enrollment ID: I20100928000387 |
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