Healthcare Provider Details

I. General information

NPI: 1164928362
Provider Name (Legal Business Name): JULIAN FRANKO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W231N1440 CORPORATE CT
WAUKESHA WI
53186-1503
US

IV. Provider business mailing address

PO BOX 735044
CHICAGO IL
60673-5044
US

V. Phone/Fax

Practice location:
  • Phone: 262-896-6000
  • Fax: 262-896-3921
Mailing address:
  • Phone: 800-326-2250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number81212
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: