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NPI Code Detail

MEDICARE: FRANCISCAN PHYSICIAN NETWORK

MEDICARE: FRANCISCAN PHYSICIAN NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1225464662
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRANCISCAN PHYSICIAN NETWORK
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 650 N GIRLS SCHOOL RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46214-3672
Country : US
Telephone Number : 317-271-5080
Fax Number :
Authorized Official
Title or Position : DIRECTOR AMBULATORY BUSINESS OFFICE
Name : DONNA PHALEN
Credential :
Telephone Number : 219-554-4548
Provider Enumeration Date : 09/17/2013
Last Update Date : 02/13/2023

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Directions to “FRANCISCAN PHYSICIAN NETWORK ” Practice Location

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