Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 20291 | WI |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 79762 | MA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD459310 | PA |
NPI | 1487663944 |
---|---|
Provider Name | Dr. Robert A. Frankenthaler |
First Address | Marshfield, WI 54449-5703 |
Second Address | Eau Claire, WI 54701-6149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 16/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D87438 | (02) | MA |