MEDICARE: DIANE P. FRANCE MD

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
1	207Q00000X	Family Medicine Physician	63040-20	WI

General Provider Information

NPI Number	:	1306815790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANE P. FRANCE MD

Provider Business Mailing Address
First Line	:	PO BOX 80257
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53208-8004
Country	:	US
Telephone Number	:	414-935-8000
Fax Number	:	414-220-5184

Provider Business Practice Location Address
First Line	:	1218 W KILBOURN AVE STE 124
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53233
Country	:	US
Telephone Number	:	414-935-8000
Fax Number	:	414-220-5184

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2006
Last Update Date	:	05/30/2018

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