| Doctor Name: | MR. TERRY ALAN FRANK |
| NPI Number: | 1053570721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN, BSN, DAPA |
| License Number: | 78712-030 |
| Business Practice Address: | 4023 N 47th Pl Sheboygan, WI - 530832554 |
| Business Phone Number: | 9204598866 |
| Business Fax Number: | 9204598866 |
| Mailing Address: | 4023 N 47th Pl, SHEBOYGAN |
| State: | WI |
| Postal Code: | 530832554 |
| Phone Number: | 9204598866 |
| Fax Number: | 9204598866 |
| NPI Enumeration Date: | 06/06/2008 |
| NPI Last Update Date: | 06/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | 78712-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |