Basic Information
| Provider Information | |||||||||
| NPI: | 1932180189 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FREEMAN-HILDRETH | ||||||||
| FirstName: | YOLONDA | ||||||||
| MiddleName: | FAYE | ||||||||
| NamePrefix: | |||||||||
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| Credential: | PA | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | FREEMAN | ||||||||
| OtherFirstName: | YOLONDA | ||||||||
| OtherMiddleName: | FAYE | ||||||||
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| OtherCredential: | PA | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 26850 PROVIDENCE PKWY | ||||||||
| Address2: | PMOB #200 | ||||||||
| City: | NOVI | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483741213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2484653144 | ||||||||
| FaxNumber: | 2484653146 | ||||||||
| Practice Location | |||||||||
| Address1: | 16001 WEST NINE MILE ROAD | ||||||||
| Address2: | DEPT OF INTERNAL MEDICINE | ||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482754818 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2488493152 | ||||||||
| FaxNumber: | 2488495378 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/07/2005 | ||||||||
| LastUpdateDate: | 05/03/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | 5601004213 | MI | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
No ID Information.