Doctor Name: | DR. JENNIFER ANN FREIJ |
NPI Number: | 1053409185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | 4101016135 |
Business Practice Address: | 44405 Woodward Ave Pontiac, MI - 483415023 |
Business Phone Number: | 2488583000 |
Business Fax Number: | |
Mailing Address: | 3262 Camden Dr, TROY |
State: | MI |
Postal Code: | 480847027 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 4101016135 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |