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NPI Code Detail

MEDICARE: DR. BRANDON D FREEL D.O.

MEDICARE: DR. BRANDON D FREEL D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician5101020084MI

General Provider Information

NPI Number : 1912261694
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON D FREEL D.O.
Provider Business Mailing Address
First Line : 6401 PRAIRIE ST STE 1700
Second Line :
City : NORTON SHORES
State : MI
Zip : 49444-7843
Country : US
Telephone Number : 231-672-6600
Fax Number : 231-672-4695
Provider Business Practice Location Address
First Line : 6401 PRAIRIE ST STE 1700
Second Line :
City : NORTON SHORES
State : MI
Zip : 49444-7843
Country : US
Telephone Number : 231-672-6600
Fax Number : 231-672-4695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2012
Last Update Date : 10/18/2023

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Directions to “ DR. BRANDON D FREEL D.O.” Practice Location

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