Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 4301051833 | MI |
NPI | 1003887290 |
---|---|
Provider Name | Dr. Martha A Frankowski |
First Address | Traverse City, MI 49686-3580 |
Second Address | Traverse City, MI 49686-3580 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3065742 | (05) | MI |
F25013 | (02) |