Provider Demographics
NPI:1811964307
Name:FRANK, RICHARD SIDNEY (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:SIDNEY
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7271 AUTUMN HILL DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2074
Mailing Address - Country:US
Mailing Address - Phone:248-737-1820
Mailing Address - Fax:248-737-1820
Practice Address - Street 1:23901 LAHSER RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-6035
Practice Address - Country:US
Practice Address - Phone:248-357-3360
Practice Address - Fax:248-737-1820
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301067199207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM61020001Medicare ID - Type Unspecified
MIF81824Medicare UPIN