Provider Demographics
NPI:1639384472
Name:FREEMAN-NGAU, SHAWNA LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWNA
Middle Name:LYNN
Last Name:FREEMAN-NGAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E WARWICK DR
Mailing Address - Street 2:PO BOX 423
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1014
Mailing Address - Country:US
Mailing Address - Phone:402-559-4081
Mailing Address - Fax:989-463-5900
Practice Address - Street 1:300 E WARWICK DR
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1014
Practice Address - Country:US
Practice Address - Phone:402-559-4081
Practice Address - Fax:989-463-5900
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25250207L00000X
DCMD037955207L00000X
MI4301102161207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology