Provider Demographics
NPI:1629017058
Name:FRANZKE, RONALD O (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:O
Last Name:FRANZKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 NE 28TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:LINCOLN CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97367-4524
Mailing Address - Country:US
Mailing Address - Phone:541-994-8114
Mailing Address - Fax:541-994-5679
Practice Address - Street 1:3100 NE 28TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:LINCOLN CITY
Practice Address - State:OR
Practice Address - Zip Code:97367-4524
Practice Address - Country:US
Practice Address - Phone:541-994-8114
Practice Address - Fax:541-994-5679
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD08905207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology