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Individual

DR. AGNES MARIE FRANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529
Mailing address
1322 LOCUST AVE, PO BOX 1112, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13128
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004642760
AETNA
WV
01
001718666
MT STATE BS/BC
WV
05
0111331000
WV
01
0573001
HOME PLAN PEIA AND CHIPS
WV
01
0839302
MEDICARE PTAN
WV
01
370017784
RR MEDICARE
WV
01
505813
NATIONAL CAPITAL PPO
WV
01
F74939
CARELINK
WV
01
FQ13128
HEALTH PLAN
WV
Enumeration date
04/13/2006
Last updated
08/11/2011
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