Healthcare Provider Details

I. General information

NPI: 1295706414
Provider Name (Legal Business Name): ALICIA JOSEFINA FRANCO-IMPERIAL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 11/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G 2241 S LINDEN RD SUITE B
FLINT MI
48532
US

IV. Provider business mailing address

G 2241 S LINDEN RD SUITE B
FLINT MI
48532
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-9470
  • Fax: 810-733-9490
Mailing address:
  • Phone: 810-733-9470
  • Fax: 810-733-9490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberAF4301043430
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: