# GLENN FREEMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841264256
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 0101040787 | VA | — |
| 207X00000X | Orthopaedic Surgery Physician | 015946 | ME | — |
| 207X00000X | Orthopaedic Surgery Physician | 2007-00852 | NC | — |
| 207X00000X | Orthopaedic Surgery Physician | 214250 | MA | — |
| 207X00000X | Orthopaedic Surgery Physician | 84747 | FL | — |
| 207X00000X | Orthopaedic Surgery Physician | ME84747 | FL | Yes |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 01/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MM968902 | MEDICARE PTAN | NH |
