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Individual

DR. MICHAEL E FREESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2135 DANA AVE SUITE 210, CINCINNATI, OH 45207
(513) 351-1200
(513) 351-1580
Mailing address
2135 DANA AVE SUITE 210, CINCINNATI, OH 45207-2276
(513) 351-1200
(513) 351-1580

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35073012
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000065218
ANTHEM
OH
01
0404690
UHC
OH
01
311329395
HUMANA
OH
Enumeration date
07/11/2006
Last updated
03/11/2010
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