Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew Wallace Freeborn, PA

Individual provider Surgical Physician Assistant · NPI 1508190851

Andrew Wallace Freeborn, PA is a Physician Assistant in Traverse City, Michigan. Qualified in 2009, 17 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 8 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1105 Sixth St
Traverse City, MI 49684-2345
Phone: (231) 935-7514
Fax: (231) 392-0039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 8872 Professional Dr Ste B, Cadillac, MI 49601-8482 — (231) 779-0320
  • 1345 E Parkdale Ave, Manistee, MI 49660-9318 — (231) 398-1750
  • 1221 Sixth St Ste 300, Traverse City, MI 49684-2360 — (231) 935-0322
  • 3537 W Front St, Traverse City, MI 49684-7941 — (231) 935-5880
  • 217 S Madison St, Traverse City, MI 49684-2321 — (231) 392-8400
  • 1221 Sixth St Ste 100, Traverse City, MI 49684-2359 — (231) 392-8400
  • 4045 W Royal Dr, Traverse City, MI 49684-8965 — (231) 935-0900

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601005642 (MI)

Record details

NPI number1508190851
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 18, 2009
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Traverse City