Healthcare Provider Details

I. General information

NPI: 1467413591
Provider Name (Legal Business Name): FRANCIS J CUEVAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7410 W RAWSON AVENUE
FRANKLIN WI
53132-8274
US

IV. Provider business mailing address

7410 W RAWSON AVENUE
FRANKLIN WI
53132-8274
US

V. Phone/Fax

Practice location:
  • Phone: 414-427-6230
  • Fax: 414-427-6231
Mailing address:
  • Phone: 414-427-6230
  • Fax: 414-427-6231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number21304
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number50399
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: