Provider Demographics
NPI:1750625968
Name:FREEDMAN, MICHAEL DAVID I (MD,FACP,FCP)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:FREEDMAN
Suffix:I
Gender:M
Credentials:MD,FACP,FCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 WAINWRIGHT CIR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5832
Mailing Address - Country:US
Mailing Address - Phone:410-363-3355
Mailing Address - Fax:
Practice Address - Street 1:4730 WAINWRIGHT CIR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5832
Practice Address - Country:US
Practice Address - Phone:410-363-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043798174H00000X, 208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology