Individual provider · Type 1 NPI

Andrew Wallace Freeborn, PA

Surgical Physician Assistant · Traverse City, MI

NPI number 1508190851 Active

Practice location

1105 Sixth St
Traverse City, MI 49684-2345

Fax (231) 392-0039

Other practice locations

  • 4045 W Royal Dr, Traverse City, MI 49684-8965 · (231) 935-0900
  • 1221 Sixth St Ste 100, Traverse City, MI 49684-2359 · (231) 392-8400
  • 217 S Madison St, Traverse City, MI 49684-2321 · (231) 392-8400
  • 3537 W Front St, Traverse City, MI 49684-7941 · (231) 935-5880
  • 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 · (231) 935-0322
  • 8872 Professional Dr Ste B, Cadillac, MI 49601-8482 · (231) 779-0320
  • 1345 E Parkdale Ave, Manistee, MI 49660-9318 · (231) 398-1750

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5601005642 (MI)

Surgical Physician Assistant: Definition to come...

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About NPI 1508190851

Andrew Wallace Freeborn, PA's National Provider Identifier is 1508190851, issued on Sep 18, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Traverse City, MI. The record was last updated on Jan 10, 2025.