Healthcare Provider Details

I. General information

NPI: 1821040494
Provider Name (Legal Business Name): ROSE A FRANCO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 W WISCONSIN AVE PULMONARY DISEASE
MILWAUKEE WI
53226-3522
US

IV. Provider business mailing address

9200 W WISCONSIN AVE PULMONARY DISEASE
MILWAUKEE WI
53226-3522
US

V. Phone/Fax

Practice location:
  • Phone: 414-805-6633
  • Fax: 414-805-3859
Mailing address:
  • Phone: 414-805-6633
  • Fax: 414-805-3859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number33464
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: