Provider Demographics
NPI:1730105933
Name:FRANK, ADAM J (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:J
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11800 E TWELVE MILE ROAD
Mailing Address - Street 2:DIAGNOSTIC RADIOLOGY CONSULTANTS
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093
Mailing Address - Country:US
Mailing Address - Phone:586-573-5060
Mailing Address - Fax:586-573-5197
Practice Address - Street 1:11800 E TWELVE MILE ROAD
Practice Address - Street 2:ST JOHN MACOMB HOSPITAL
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093
Practice Address - Country:US
Practice Address - Phone:586-573-5060
Practice Address - Fax:586-573-5197
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI0666362085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G11341Medicare UPIN