Healthcare Provider Details

I. General information

NPI: 1760467054
Provider Name (Legal Business Name): FRANKLIN E HULL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 01/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22250 PROVIDENCE DR. STE #705
SOUTHFIELD MI
48075
US

IV. Provider business mailing address

22250 PROVIDENCE DR. STE #705
SOUTHFIELD MI
48075
US

V. Phone/Fax

Practice location:
  • Phone: 248-552-9858
  • Fax: 248-552-9510
Mailing address:
  • Phone: 248-552-9858
  • Fax: 248-552-9510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4301030354
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: