| Franklin Family Practice, Inc. | |
|
4908 Franklin Ave Des Moines IA 50310-1901 | |
| (515) 280-4930 | |
| (515) 309-0686 |
| Full Name | Franklin Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 4908 Franklin Ave, Des Moines, Iowa |
| Authorized Official Name and Position | Mike Polich (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5152803860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Franklin Family Practice, Inc. 2213 Grand Ave Des Moines IA 50312-5305 Ph: (515) 237-3974 | Franklin Family Practice, Inc. 4908 Franklin Ave Des Moines IA 50310-1901 Ph: (515) 280-4930 |
| NPI Number | 1124398722 |
|---|---|
| Provider Enumeration Date | 01/12/2012 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124398722 | NPI | - | NPPES |
| 1124398722 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Iowa) | Secondary |
| 207Q00000X | Family Medicine | (Iowa) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (Iowa) | Secondary |
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