Individual
ANDREW WALLACE FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-7514
(231) 392-0039
Mailing address
1105 SIXTH ST, TRAVERSE CITY, MI 49684-2345
(231) 935-7514
(231) 392-0039
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601005642
MI
Other
Enumeration date
09/18/2009
Last updated
01/10/2025
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