Provider Demographics
NPI:1427101807
Name:FRANZ, MARK G (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:G
Last Name:FRANZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 UNIVERSITY DRIVE
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:PA
Mailing Address - Zip Code:15431
Mailing Address - Country:US
Mailing Address - Phone:724-628-6677
Mailing Address - Fax:727-628-4611
Practice Address - Street 1:1829 UNIVERSITY DRIVE
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:PA
Practice Address - Zip Code:15431
Practice Address - Country:US
Practice Address - Phone:724-628-6677
Practice Address - Fax:727-628-4611
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006021L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA156308Medicare ID - Type Unspecified
C32186Medicare UPIN