Marcus Kyle Free is a Surgery in Saint Joseph, Michigan. Marcus Kyle Free practices all healthcare services and medical treatments related to Surgery. The NPI Number for Marcus Kyle Free is 1790949097. The last update date is 2019-10-27.
Marcus Kyle Free's current location address is 2143 Derfla Dr, Saint Joseph, Michigan. You can contact this provider via phone number 8885505154 and fax number 8884144545. The mailing address for Marcus Kyle Free is 2143 Derfla Dr, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcus Kyle Free |
|---|---|
| Address | 2143 Derfla Dr, Saint Joseph, Michigan |
| Phone Number | 8885505154 |
| Fax Number | 8884144545 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790949097 |
|---|---|
| Provider Enumeration Date | 2008-07-16 |
| Last Updated Date | 2019-10-27 |
Provider Mailing Address Detail
| Address | 2143 Derfla Dr |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490859661 |
| Phone Number | 8885505154 |
| Fax Number | 8884144545 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 4301093347 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 105431333 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marcus Kyle Free?
The Marcus Kyle Free has been issued the NPI (National Provider Identifier) 1790949097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Marcus Kyle Free's physical address?
The Marcus Kyle Free is physically located at 2143 Derfla Dr, in the city of Saint Joseph, MI, with the postal code 490859661.
What is the Marcus Kyle Free's area of specialization and corresponding taxonomy classification?
The Marcus Kyle Free's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date was the 1790949097 assigned to Marcus Kyle Free?
The Marcus Kyle Free was issued its 1790949097 on 2008-07-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Marcus Kyle Free most recently updated?
The details pertaining to the Marcus Kyle Free, including its address, specialty, and other relevant information, were last refreshed on 2019-10-27.
NPI Number: 1235132838
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