Basic Information
| Provider Information | |||||||||
| NPI: | 1306894845 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FREEHILL | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | Q | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2925 CHICAGO AVE | ||||||||
| Address2: | |||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554071321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6122625000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8100 W 78TH ST | ||||||||
| Address2: | SUITE 225 | ||||||||
| City: | MINNEAPOLIS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554392516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9529469777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 03/02/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/02/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 42881 | MN | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1024665 | 01 | MN | PREFERRED ONE | OTHER | 200040236 | 01 | MN | RAILROAD MEDICARE | OTHER | 120003727 | 01 | MN | WEA | OTHER | 121177 | 01 | MN | PATIENT CHOICE | OTHER | 128870 | 01 | MN | UCARE | OTHER | 0900196 | 01 | MN | MEDICA | OTHER | HP30958 | 01 | MN | HEALTHPARTNERS | OTHER | 0110114 | 01 | MN | SELECT CARE | OTHER | 470620000 | 05 | MN | MEDICAID | 1061311 | 01 | MN | AMERICA'S PPO | OTHER | 33G13FR | 01 | MN | BLUE CROSS/SHIELD | OTHER |