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Individual

MAXIME FREIRE

Active
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Individual

MAXIME FREIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21427
MS
2085R0202X
Diagnostic Radiology Physician
57.011402
OH
2085R0202X
Diagnostic Radiology Physician
769-L
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06395191
MS
05
158937
AL
01
P01189939
RAILROAD MEDICARE PTAN
MS
Enumeration date
04/03/2008
Last updated
09/09/2021
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