Individual
MS. KRISTINA KATHRYN FREESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2799 W GRAND BLVD # K-11, DETROIT, MI 48202-2608
(313) 433-7893
(313) 916-7610
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1138
(313) 438-7373
(313) 438-7375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601004758
MI
Other
Enumeration date
07/26/2006
Last updated
04/08/2021
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