Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 4301033855 | MI |
Y | 207RH0003X | Hematology & Oncology | MD43011033855 | MI |
NPI | 1063549343 |
---|---|
Provider Name | Dr. Roman Franklin |
First Address | Keego Harbor, MI 48320-1272 |
Second Address | Keego Harbor, MI 48320-1272 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1401265 | (05) | MI |
A75894 | (02) | MI |