Healthcare Provider Details

I. General information

NPI: 1043951882
Provider Name (Legal Business Name): FRANCESCA MARIE TIBERIO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16151 19 MILE RD STE 300
CLINTON TOWNSHIP MI
48038-1159
US

IV. Provider business mailing address

1 FORD PL
DETROIT MI
48202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 586-228-1760
  • Fax:
Mailing address:
  • Phone: 313-874-2892
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101029306
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: