Individual
MICHAEL R DEFRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41138-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104173216
—
MI
05
—
32579300
—
WI
01
—
930076797
MEDICARE RAILROAD
WI
01
—
930079993
MEDICARE RAILROAD
WI
01
—
P00238576
MEDICARE RAILROAD
WI
Enumeration date
05/01/2006
Last updated
12/19/2021
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