Provider Information for 1548727860
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PAMELA SUSAN FRANCKEN
Sex: Female
NPI: 1548727860
Last Updated: 2019-02-22
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1548727860 | ||||||||||||
| Enumeration Date | 2019-02-22 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 704 EMMET ST PETOSKEY, MI 49770-2910 United States Phone: 231-347-9313 | Fax: | ||||||||||||
| Primary Practice Address | 520 N MAIN ST STE 202 CHEBOYGAN, MI 49721-1162 United States Phone: 231-597-9235 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 704 EMMET ST 2236 E MITCHELL RD STE 5 | ||||||||||||
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