Healthcare Provider Details

I. General information

NPI: 1285014472
Provider Name (Legal Business Name): ANTHONY FRANCHETTI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MICHIGAN ST NE
GRAND RAPIDS MI
49503-2560
US

IV. Provider business mailing address

1540 E HOSPITAL DR SPC 4245CW
ANN ARBOR MI
48109-4000
US

V. Phone/Fax

Practice location:
  • Phone: 616-364-4200
  • Fax:
Mailing address:
  • Phone: 734-232-8990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number4301117265
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT208219
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301117265
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4301117265
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: