Provider Demographics
NPI:1376592691
Name:RODRIGUEZ, FRANCISCO J (MD, PC)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:J
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:MD, PC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25710 KELLY RD
Mailing Address - Street 2:SUITE
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-4959
Mailing Address - Country:US
Mailing Address - Phone:586-445-8030
Mailing Address - Fax:586-445-8156
Practice Address - Street 1:25710 KELLY RD
Practice Address - Street 2:SUITE 2
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-4959
Practice Address - Country:US
Practice Address - Phone:586-445-8030
Practice Address - Fax:586-445-8156
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43010320082086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1059441Medicaid
MI0205080881OtherBLUECROSS BLUE SHIEL
MIA76844Medicare UPIN
MI1059441Medicaid