Healthcare Provider Details

I. General information

NPI: 1063677862
Provider Name (Legal Business Name): ORLANDO M FRANCISCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2008
Last Update Date: 12/15/2020
Certification Date: 12/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 STANLEY ST
STEVENS POINT WI
54481-1323
US

IV. Provider business mailing address

401 W MOHAWK DR
TOMAHAWK WI
54487-2274
US

V. Phone/Fax

Practice location:
  • Phone: 715-341-7332
  • Fax:
Mailing address:
  • Phone: 715-453-7200
  • Fax: 715-361-4887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15415
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: