Healthcare Provider Details

I. General information

NPI: 1609495290
Provider Name (Legal Business Name): KATHARINE FREEMAN MICHEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 PROGRESS DRIVE STE 101
DOYLESTOWN PA
18901-2516
US

IV. Provider business mailing address

102 PROGRESS DRIVE STE 101
DOYLESTOWN PA
18901-2516
US

V. Phone/Fax

Practice location:
  • Phone: 215-230-0600
  • Fax: 215-230-7065
Mailing address:
  • Phone: 215-230-0600
  • Fax: 215-230-7065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD478780
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: