Healthcare Provider Details

I. General information

NPI: 1114325032
Provider Name (Legal Business Name): TIMOTHY FRANKE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 CAMPUS RIDGE DR
MIDLAND MI
48640-6139
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-2000
US

V. Phone/Fax

Practice location:
  • Phone: 989-488-5007
  • Fax: 989-488-5008
Mailing address:
  • Phone: 844-832-1956
  • Fax: 989-633-5241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301016882
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: