Healthcare Provider Details

I. General information

NPI: 1689653701
Provider Name (Legal Business Name): KEEVIN JOSEPH FRANZEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2006
Last Update Date: 10/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 DELHI ST SUITE 3500
DUBUQUE IA
52001-6321
US

IV. Provider business mailing address

1500 DELHI ST SUITE 3500
DUBUQUE IA
52001-6321
US

V. Phone/Fax

Practice location:
  • Phone: 563-557-5911
  • Fax:
Mailing address:
  • Phone: 563-557-5911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20655
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: