Provider Demographics
NPI:1427147982
Name:FRANZBLAU, ALFRED (MD, MA)
Entity type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:
Last Name:FRANZBLAU
Suffix:
Gender:M
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 S INDUSTRIAL HWY
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-6796
Mailing Address - Country:US
Mailing Address - Phone:734-975-3039
Mailing Address - Fax:734-975-3013
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:MED INN BLDG/C380
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:734-936-0758
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME4301055331174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist