Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREW WALLACE FREEBORN, PA
ActiveANDREW WALLACE FREEBORN, PA is a Surgical Physician Assistant healthcare provider located in TRAVERSE CITY, Michigan. NPI 1508190851 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1508190851
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 18, 2009 (16.86558601492 yrs)
- Last Updated
- Jan 10, 2025
- License
-
5601005642 (MI)
Practice Information
- Address
-
1105 SIXTH STTRAVERSE CITY, MI, 496842345Browse MI providers · Browse ZIP 49684
- Phone
- 2319357514
- Fax
- 2313920039
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| KAREN A TOSIELLO | PA-C | 1407898810 |
| AMY P KUDARY | P.A. | 1770505638 |
| RALPH A GERACI | P.A. | 1710901517 |
| LARRY D ALEXANDER | P.A. | 1629092424 |
| ANDREW T MCCOUBREY | PA-C | 1437255924 |
| MR. RICHARD LAWRENCE BURGETT SR. | CSA | 1912139544 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.