Individual
GLENN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101040787
VA
207X00000X
Orthopaedic Surgery Physician
015946
ME
207X00000X
Orthopaedic Surgery Physician
2007-00852
NC
207X00000X
Orthopaedic Surgery Physician
214250
MA
207X00000X
Orthopaedic Surgery Physician
84747
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME84747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM968902
MEDICARE PTAN
NH
Enumeration date
02/14/2006
Last updated
01/07/2014
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