Healthcare Provider Details

I. General information

NPI: 1417521774
Provider Name (Legal Business Name): SARAH FRANKL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 W 13 MILE RD STE N300
ROYAL OAK MI
48073-6710
US

IV. Provider business mailing address

3555 W 13 MILE RD STE N300
ROYAL OAK MI
48073-6710
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-3302
  • Fax:
Mailing address:
  • Phone: 248-551-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number4301517121
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301517121
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: