Healthcare Provider Details

I. General information

NPI: 1417952946
Provider Name (Legal Business Name): REY A FRANCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 WEST CEDAR STREET
STANDISH MI
48658-0940
US

IV. Provider business mailing address

PO BOX 940
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 NumberRF037610
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: