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Individual

MICHAEL FREEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
24725 W 12 MILE RD STE 310, SOUTHFIELD, MI 48034-8337
(248) 351-0011
(248) 351-0017
Mailing address
24725 W 12 MILE RD STE 310, SOUTHFIELD, MI 48034-8337
(248) 351-0011

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301028738
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1373563
MI
01
2606303270
BCBSM
MI
Enumeration date
02/20/2007
Last updated
10/17/2011
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