MEDICARE: DR. ANDREW GLEN FREEMAN MD, MS, MBA

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
1	2083X0100X	Occupational Medicine Physician	35068500	OH

General Provider Information

NPI Number	:	1750506028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW GLEN FREEMAN MD, MS, MBA

Provider Business Mailing Address
First Line	:	8170 CORPORATE PARK DR STE 132
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3300
Country	:	US
Telephone Number	:	513-202-3733
Fax Number	:	888-303-2914

Provider Business Practice Location Address
First Line	:	8170 CORPORATE PARK DR STE 132
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3300
Country	:	US
Telephone Number	:	513-202-3733
Fax Number	:	888-303-2914

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	07/12/2023

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