Individual
KIMBERLY SUE FREESE-BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 HINCKLEY BLVD, SUITE 100, JACKSON, MI 49203-6125
(517) 784-0141
(517) 787-3462
Mailing address
PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 48267-2728
(517) 784-0141
(517) 787-3462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301082465
MI
Other
Enumeration date
06/28/2006
Last updated
02/16/2021
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