Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 01035673A | IN |
NPI | 1003163395 |
---|---|
Provider Name | Dr. Timothy Raymond Franson |
First Address | Zionsville, IN 46077-7838 |
Second Address | Zionsville, IN 46077-7838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2012 |
Last Update Date | 06/08/2012 |