=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659468379
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STANLEY KEITH FRENCHER SR. MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/05/2006
-----------------------------------------------------
Last Update Date | 12/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2395 W GRAND BLVD
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48208-1210
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-831-2442
-----------------------------------------------------
Fax | 313-831-2444
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2419 PLEASANT VIEW DR
-----------------------------------------------------
City | ROCHESTER HILLS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48306-3147
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-736-1077
-----------------------------------------------------
Fax | 313-579-4585
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 046607
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------