Provider Demographics
NPI:1376682211
Name:FRANKLIN FAMILY PHYSICIANS SC
Entity Type:Organization
Organization Name:FRANKLIN FAMILY PHYSICIANS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:KAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:414-529-9100
Mailing Address - Street 1:9200 W LOOMIS ROAD
Mailing Address - Street 2:#215
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132
Mailing Address - Country:US
Mailing Address - Phone:414-529-9100
Mailing Address - Fax:414-529-9108
Practice Address - Street 1:9200 W LOOMIS ROAD
Practice Address - Street 2:#215
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132
Practice Address - Country:US
Practice Address - Phone:414-529-9100
Practice Address - Fax:414-529-9108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25313020207Q00000X
WI25717020207Q00000X
WI25435020207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty