Provider Demographics
NPI:1457315855
Name:REUSCHE, FRANK L (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:L
Last Name:REUSCHE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3125 FRENCH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-1068
Mailing Address - Country:US
Mailing Address - Phone:814-456-2047
Mailing Address - Fax:814-453-5226
Practice Address - Street 1:3125 FRENCH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-1068
Practice Address - Country:US
Practice Address - Phone:814-456-2047
Practice Address - Fax:814-453-5226
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006245L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA163636Medicare ID - Type Unspecified
PAE55965Medicare UPIN