Provider Demographics
NPI:1982666525
Name:FRANZ, PATRICIA MARY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MARY
Last Name:FRANZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:MARY
Other - Last Name:LARSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4608 MANKATO AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-1630
Mailing Address - Country:US
Mailing Address - Phone:487-611-3812
Mailing Address - Fax:248-551-5158
Practice Address - Street 1:4608 MANKATO AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-1630
Practice Address - Country:US
Practice Address - Phone:248-761-1381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061796207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3360303Medicaid
OM00270Medicare ID - Type Unspecified
MI3360303Medicaid