Healthcare Provider Details

I. General information

NPI: 1932172053
Provider Name (Legal Business Name): SUSAN FRANGISKAKIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4652 S BILTMORE LN
MADISON WI
53718-2104
US

IV. Provider business mailing address

4652 S BILTMORE LN
MADISON WI
53718-2104
US

V. Phone/Fax

Practice location:
  • Phone: 608-924-5655
  • Fax: 608-305-8954
Mailing address:
  • Phone: 608-924-5655
  • Fax: 608-305-8954

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD419476
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number52830-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: