Healthcare Provider Details

I. General information

NPI: 1790743599
Provider Name (Legal Business Name): RICHARD S. FRANK, MD, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23901 LAHSER RD
SOUTHFIELD MI
48034-6035
US

IV. Provider business mailing address

4572 FAIRWAY RDG
WEST BLOOMFIELD MI
48323-3309
US

V. Phone/Fax

Practice location:
  • Phone: 248-357-3360
  • Fax:
Mailing address:
  • Phone: 248-737-1820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD S. FRANK
Title or Position: PRESIDENT
Credential: M.D.
Phone: 248-737-1820