Provider Demographics
NPI:1992801773
Name:COLE, FRANCINE CIMINO (DO)
Entity type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:CIMINO
Last Name:COLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2925 ROBAL CT
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-9242
Mailing Address - Country:US
Mailing Address - Phone:734-429-3348
Mailing Address - Fax:517-592-2540
Practice Address - Street 1:107 CHICAGO ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:MI
Practice Address - Zip Code:49230-9703
Practice Address - Country:US
Practice Address - Phone:517-592-3275
Practice Address - Fax:517-592-2540
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFC0069212084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2829208Medicaid
MIE49686Medicare UPIN
MI2829208Medicaid