Individual
MR. FRANK A RANDAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
(586) 741-4604
Mailing address
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3274
(586) 741-3772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301076057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H26188
BCBS OF MICHIGAN
MI
01
—
0Q26008
BLUE CARE NETWORK
MI
01
—
1006439
MCCLAREN
MI
01
—
1111920004
WELLNESS PLAN
—
05
—
4864780
—
MI
01
—
495680
HAP
MI
01
—
P00329839
RR MEDICARE
—
01
—
SJ820005
MCARE
MI
Enumeration date
05/03/2006
Last updated
10/25/2007
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