Provider Demographics
NPI:1043201403
Name:FRANCK, BARBARA H (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:H
Last Name:FRANCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 CHALLENGER DR STE 191
Mailing Address - Street 2:
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54311-8351
Mailing Address - Country:US
Mailing Address - Phone:920-412-9737
Mailing Address - Fax:920-489-2247
Practice Address - Street 1:840 CHALLENGER DR STE 191
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54311-8351
Practice Address - Country:US
Practice Address - Phone:920-412-9737
Practice Address - Fax:920-489-2247
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI40123207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34438900Medicaid
WIP00061063OtherRAILROAD MEDICARE
WI34438900Medicaid
WI40123OtherTOUCHPOINT
WIP00061063OtherRAILROAD MEDICARE
WIWI01L2OtherJOHN DEERE