Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 4301095983 | MI |
N | 207P00000X | Emergency Physician | LL30315 | SC |
NPI | 1013115914 |
---|---|
Provider Name | Jennifer Lee Franklin |
First Address | Detroit, MI 48202 |
Second Address | West Bloomfield, MI 48322-3013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 01/03/2011 |