Individual
RICHARD WAYNE FREEEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS MT(ASCP)
Contact information
Practice address
550 6TH AVE NORTH, WOLF POINT, MT 59201-0729
(406) 653-1641
(406) 653-3728
Mailing address
550 6TH AVE NORTH, P.O. BOX 729, WOLF POINT, MT 59201-0729
(406) 653-1641
(406) 653-3728
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
190326
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9990118
—
MT
Enumeration date
06/10/2014
Last updated
06/10/2014
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