Healthcare Provider Details
I. General information
NPI: 1083001093
Provider Name (Legal Business Name): MICHAEL FRANK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2015
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 W 6TH AVE # G
DENVER CO
80204
US
IV. Provider business mailing address
301 W 6TH AVE # G
DENVER CO
80204-5182
US
V. Phone/Fax
- Phone: 303-436-6000
- Fax:
- Phone: 303-436-6000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | DR.0060009 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RA0401X |
| Taxonomy | Addiction Medicine (Internal Medicine) Physician |
| License Number | DR.0060009 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: