Provider Demographics
NPI:1013910421
Name:FRANCKE, PAUL FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FREDERICK
Last Name:FRANCKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1220 LEE ST E STE 203
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301-1864
Mailing Address - Country:US
Mailing Address - Phone:304-343-4124
Mailing Address - Fax:304-343-4167
Practice Address - Street 1:1220 LEE ST E STE 203
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1864
Practice Address - Country:US
Practice Address - Phone:304-343-4124
Practice Address - Fax:304-343-4167
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2021-10-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV12293207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0096899000Medicaid
WVA72230Medicare UPIN
WV1292840001Medicare NSC