Individual
TIMOTHY J FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD STE 310, GREEN BAY, WI 54311-6519
(920) 288-8300
(920) 288-8305
Mailing address
2845 GREENBRIER RD STE 310, PO BOX 8900, GREEN BAY, WI 54303-2728
(920) 288-8300
(920) 288-8305
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23051-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30383200
—
WI
Enumeration date
06/06/2006
Last updated
10/26/2010
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