Healthcare Provider Details

I. General information

NPI: 1467689216
Provider Name (Legal Business Name): STEVEN P FRANSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2009
Last Update Date: 06/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

753 10TH AVE
MONROE WI
53566-1427
US

IV. Provider business mailing address

753 10TH AVE
MONROE WI
53566-1427
US

V. Phone/Fax

Practice location:
  • Phone: 608-325-6606
  • Fax:
Mailing address:
  • Phone: 608-325-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number633
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: