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Individual
TERESA LYNN FRANKOVICH
Active
Individual
TERESA LYNN FRANKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301073637
MI
208000000X
Pediatrics Physician
Primary
G66089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301073637
STATE LICENSE
MI
05
—
4354140
—
MI
01
—
700Z745720
BCBS
MI
Enumeration date
10/05/2006
Last updated
10/14/2019
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