| Doctor Name: | RICHARD WAYNE FREEEMAN |
| NPI Number: | 1801209655 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BS MT(ASCP) |
| License Number: | 190326 |
| Business Practice Address: | 550 6th Ave North Wolf Point, MT - 592010729 |
| Business Phone Number: | 4066531641 |
| Business Fax Number: | 4066533728 |
| Mailing Address: | 550 6th Ave North, P.o. Box 729 WOLF POINT |
| State: | MT |
| Postal Code: | 592010729 |
| Phone Number: | 4066531641 |
| Fax Number: | 4066533728 |
| NPI Enumeration Date: | 06/10/2014 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RM2200X |
| License Number: | 190326 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Medical Laboratory |
| Taxonomy Definition: | |