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Individual

MICHAEL C FREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPA-C

Contact information

Practice address
1 TITUS PLACE, WALTON, NY 13856
(607) 865-2189
(845) 565-3395
Mailing address
1 TITUS PLACE, EMERGENCY DEPT., WALTON, NY 13856
(607) 865-2189
(845) 565-3395

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004868
NY

Other

Enumeration date
08/19/2006
Last updated
01/27/2017
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