Provider Demographics
NPI:1306894845
Name:FREEHILL, MICHAEL Q (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:Q
Last Name:FREEHILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:710 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-4919
Mailing Address - Country:US
Mailing Address - Phone:651-968-5201
Mailing Address - Fax:
Practice Address - Street 1:15700 37TH AVE N STE 150
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55446-3675
Practice Address - Country:US
Practice Address - Phone:651-968-5201
Practice Address - Fax:651-968-5903
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN42881207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1024665OtherPREFERRED ONE
MN200040236OtherRAILROAD MEDICARE
MN120003727OtherWEA
MN121177OtherPATIENT CHOICE
MN128870OtherUCARE
MN0900196OtherMEDICA
MNHP30958OtherHEALTHPARTNERS
MN0110114OtherSELECT CARE
MN470620000Medicaid
MN1061311OtherAMERICA'S PPO
MN33G13FROtherBLUE CROSS/SHIELD
MNHP30958OtherHEALTHPARTNERS
MN470620000Medicaid