Organization
SHELLEY FREIMARK, MD, PLC
Active
Organization
SHELLEY FREIMARK, MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY LYNN FREIMARK MD (PRESIDENT)
(616) 296-1143
Entity
Organization
Contact information
Practice address
11257 LAKESHORE DR, GRAND HAVEN, MI 49417-8825
(616) 566-3379
Mailing address
11257 LAKESHORE DR, GRAND HAVEN, MI 49417-8825
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301066173
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104813584
—
MI
01
—
2507011161
BCBSM MI
MI
01
—
SF066173
STATE LICENSE#
MI
Enumeration date
05/23/2006
Last updated
04/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up