Provider Demographics
NPI:1871634691
Name:FRANKE, RANDAL C (MD)
Entity Type:Individual
Prefix:DR
First Name:RANDAL
Middle Name:C
Last Name:FRANKE
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 1:11001 31ST PL W
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-1323
Mailing Address - Country:US
Mailing Address - Phone:425-267-0299
Mailing Address - Fax:425-513-1446
Practice Address - Street 1:11001 31ST PL W
Practice Address - Street 2:SUITE 1
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98204-1323
Practice Address - Country:US
Practice Address - Phone:425-267-0299
Practice Address - Fax:425-513-1446
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00024067208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA163628OtherLABOR AND INDUSTRIES