Individual
MR. GREGOR FREYSTAETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 PROVIDENCE DR, SUITE B314, ANCHORAGE, AK 99508-4690
(907) 212-3420
Mailing address
3760 PIPER ST, SUITE 1060, ANCHORAGE, AK 99508-4665
(907) 212-6522
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
7231
AK
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
ME108651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162616
MEDICARE GROUP #
AK
01
—
DS6541
RAILROAD MEDICARE GROUP #
AK
05
—
MD9626
—
AK
01
—
MDG046
MEDICAID MD GROUP #
AK
01
—
P01051166
RAILROAD MEDICARE PIN
AK
Enumeration date
02/08/2010
Last updated
02/11/2013
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