Doctor Name: | DR. GLENNA CAROLYN FRANKE |
NPI Number: | 1629077110 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 036056844 |
Business Practice Address: | 3394 Mckelvey Rd Ste 113 Bridgeton, MO - 630442531 |
Business Phone Number: | 3142913409 |
Business Fax Number: | 3147396798 |
Mailing Address: | 3394 Mckelvey Rd, Ste 113 BRIDGETON |
State: | MO |
Postal Code: | 630442531 |
Phone Number: | 3142913409 |
Fax Number: | 3147396798 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 02/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036056844 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |