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Individual

FRANKLIN A VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301071764
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1028830
PREFERREDONE
05
34155000
WI
05
4336760
MI
01
48G56VI
BCBS
MN
01
FV071764
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/12/2005
Last updated
10/05/2007
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