Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2012-01326 | NC |
N | 207X00000X | Orthopaedic Surgeon | 4301111477 | MI |
Y | 207X00000X | Orthopaedic Surgeon | A112639 | CA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 4301111477 | MI |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A112639 | CA |
NPI | 1205973898 |
---|---|
Provider Name | Dr. Michael Thomas Freehill |
First Address | Stanford, CA 94305-2200 |
Second Address | Ann Arbor, MI 48105-9484 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5920978 | (05) | NC |