Healthcare Provider Details

I. General information

NPI: 1598727133
Provider Name (Legal Business Name): FRANKLIN M WEST DO
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 EAST ELM STREET
CARSON CITY MI
48811
US

IV. Provider business mailing address

406 EAST ELM STREET PO BOX 879
CARSON CITY MI
48811
US

V. Phone/Fax

Practice location:
  • Phone: 989-584-3971
  • Fax: 989-584-3729
Mailing address:
  • Phone: 989-584-3971
  • Fax: 989-584-3729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number5101009008
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: