Healthcare Provider Details

I. General information

NPI: 1356511323
Provider Name (Legal Business Name): REY ALBERTO FRANCO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 W CEDAR ST
STANDISH MI
48658-9526
US

IV. Provider business mailing address

PO BOX 940 805 WEST CEDAR STREET
STANDISH MI
48658-0940
US

V. Phone/Fax

Practice location:
  • Phone: 989-846-4535
  • Fax: 989-846-6580
Mailing address:
  • Phone: 989-846-4535
  • Fax: 989-846-6580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number4301037610
License Number StateMI

VIII. Authorized Official

Name: DR. REY A FRANCO
Title or Position: PHYSICIAN
Credential: MD
Phone: 989-846-4535