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Individual

MRS. SHELLEY L FREIMARK

Active
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Individual

MRS. SHELLEY L FREIMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301066173
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104813584
MI
01
250010895
RR MEDICARE
01
2507011161
BLUE CROSS
MI
01
SF066173
STATE LICENSE #
MI
Enumeration date
06/30/2005
Last updated
04/15/2020
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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