Healthcare Provider Details

I. General information

NPI: 1063469369
Provider Name (Legal Business Name): RICHARD A. FRANK, M.D., S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5738 N SHORE DR
WHITEFISH BAY WI
53217-4864
US

IV. Provider business mailing address

5738 N SHORE DR
WHITEFISH BAY WI
53217-4864
US

V. Phone/Fax

Practice location:
  • Phone: 414-961-2409
  • Fax: 414-961-9800
Mailing address:
  • Phone: 414-961-2409
  • Fax: 414-961-9800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A FRANK
Title or Position: PRESIDENT
Credential: MD
Phone: 414-961-2409