Healthcare Provider Details

I. General information

NPI: 1013392695
Provider Name (Legal Business Name): JOSEPH MICHAEL FRANCHINO PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2015
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E 28TH ST STE. 400
MINNEAPOLIS MN
55407-1139
US

IV. Provider business mailing address

3300 OAKDALE AVE N
ROBBINSDALE MN
55422-2926
US

V. Phone/Fax

Practice location:
  • Phone: 612-863-6900
  • Fax: 612-863-6899
Mailing address:
  • Phone: 763-581-5400
  • Fax: 763-581-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number11876
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: