Individual
ELLEN KATHRYN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
111 HUNDERTMARK RD STE 480, CHASKA, MN 55318-1485
(952) 442-7807
Mailing address
7621 EDINBOROUGH WAY APT 2108, EDINA, MN 55435-5279
(612) 790-3664
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12653
MN
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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