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1912905159

NPI Code Detail

MEDICARE: FRANKLIN A VILLANUEVA MD

MEDICARE: FRANKLIN A VILLANUEVA 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	207R00000X	Internal Medicine Physician	4301071764	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1028830	OTHER		PREFERREDONE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	48G56VI	OTHER	MN	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	FV071764	OTHER	MI	BLUE CROSS BLUE SHIELD MI

General Provider Information

NPI Number	:	1912905159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANKLIN A VILLANUEVA MD

Provider Business Mailing Address
First Line	:	N10565 GRANDVIEW LN
Second Line	:
City	:	IRONWOOD
State	:	MI
Zip	:	49938-9622
Country	:	US
Telephone Number	:	906-932-1500
Fax Number	:	906-932-5630

Provider Business Practice Location Address
First Line	:	N10565 GRANDVIEW LN
Second Line	:
City	:	IRONWOOD
State	:	MI
Zip	:	49938-9622
Country	:	US
Telephone Number	:	906-932-1500
Fax Number	:	906-932-5630

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	10/05/2007

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1619975869 — DAVID S WOOD DPM
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1891793733 — JAMES E HUBBARD MD
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1992704753 — ASPIRUS IRONWOOD HOSPITAL & CLINICS, INC.
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1982602751 — TERRY L. STEEGE NP
Practice Location Address:

N10565 GRANDVIEW LANE
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Directions to “ FRANKLIN A VILLANUEVA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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