Provider Demographics
NPI:1922142512
Name:NANCY J FRANTZ DO PC
Entity Type:Organization
Organization Name:NANCY J FRANTZ DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-226-0021
Mailing Address - Street 1:15400 19 MILE RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-6327
Mailing Address - Country:US
Mailing Address - Phone:586-226-0021
Mailing Address - Fax:
Practice Address - Street 1:15400 19 MILE RD
Practice Address - Street 2:STE. 100
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-6327
Practice Address - Country:US
Practice Address - Phone:586-226-0021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101014213208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty