ANDREW WALLACE FREEBORN

TRAVERSE CITY, MI
NPI1508190851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MI  5601005642)
Enumeration Date2009-09-18
Last Update Date2024-02-28
Business Address
ANDREW WALLACE FREEBORN PA
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-7514
Mailing Address
ANDREW WALLACE FREEBORN PA
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-7514