Individual
DR. DAVID J FREESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 N MAIN ST, ITHACA, MI 48847
(989) 875-4166
(989) 875-3600
Mailing address
PO BOX 730, 406 E ELM ST, CARSON CITY, MI 48811
(989) 584-3131
(989) 584-6734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301067325
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080166452
RAILROAD MEDICARE
MI
05
—
3472266
—
MI
Enumeration date
02/22/2006
Last updated
12/03/2009
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