Individual
DR. MICHAEL PAUL FREESEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
847 W 4TH ST, WATERLOO, IA 50702-2141
(319) 234-4486
(319) 232-4913
Mailing address
847 W 4TH ST, WATERLOO, IA 50702-2141
(319) 234-4486
(319) 232-4913
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7733
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007948
—
IA
Enumeration date
11/20/2006
Last updated
07/08/2007
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