Provider Demographics
NPI:1235145244
Name:FRANKLYN, NOELLE K (MD)
Entity Type:Individual
Prefix:MRS
First Name:NOELLE
Middle Name:K
Last Name:FRANKLYN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:NOELLE
Other - Middle Name:K
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1848
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49443-1848
Mailing Address - Country:US
Mailing Address - Phone:231-727-4444
Mailing Address - Fax:231-728-4789
Practice Address - Street 1:1909 RUDDIMAN DRIVE
Practice Address - Street 2:
Practice Address - City:NORTH MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49445
Practice Address - Country:US
Practice Address - Phone:231-744-5577
Practice Address - Fax:231-744-2365
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301079444207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I41085Medicare UPIN
MIN28430066Medicare PIN