# SHELLEY FREIMARK, MD, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992750681
- **Authorized official:** SHELLEY LYNN FREIMARK MD (PRESIDENT)
- **Authorized official phone:** (616) 296-1143

## Contact information

- **Practice address:** 11257 LAKESHORE DR, GRAND HAVEN, MI 49417-8825
- **Practice address phone:** (616) 566-3379
- **Mailing address:** 11257 LAKESHORE DR, GRAND HAVEN, MI 49417-8825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301066173 | MI | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 04/15/2020