MEDICARE: FRANCISCAN PHYSICIAN NETWORK

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
2	207RR0500X	Rheumatology Physician
3	207X00000X	Orthopaedic Surgery Physician
4	207RP1001X	Pulmonary Disease Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316310535
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	:	2001 US HIGHWAY 41
Second Line	:
City	:	SCHERERVILLE
State	:	IN
Zip	:	46375-2892
Country	:	US
Telephone Number	:	219-365-0970
Fax Number	:	219-365-1830

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DONNA PHALEN
Credential	:
Telephone Number	:	219-554-4548

Provider Enumeration Date	:	11/10/2015
Last Update Date	:	02/13/2023

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Directions to “FRANCISCAN PHYSICIAN NETWORK ” Practice Location

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