Individual
DR. MARY FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, LP
Contact information
Practice address
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454
(612) 273-8700
Mailing address
UNIVERSITY OF MINNESOTA PHYSICIANS, 2312 SOUTH 6TH STREET, SUITE F256 / 2B WEST, MINNEAPOLIS, MN 55454
(612) 273-9800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4319
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492456
—
MT
01
—
1028022
PREFERRED ONE
MN
01
—
130952
UCARE
MN
01
—
1382591
ARAZ
MN
01
—
61-57516
MEDICA CHOICE & PRIMARY
MN
01
—
74G37FR
BCBS
MN
01
—
HP33776
HEALTHPARTNERS
MN
Enumeration date
07/06/2006
Last updated
07/09/2007
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