Provider Demographics
NPI:1801280284
Name:FRANTSKEVICH, KATSIARYNA (MD)
Entity type:Individual
Prefix:
First Name:KATSIARYNA
Middle Name:
Last Name:FRANTSKEVICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 N LAKE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-4528
Mailing Address - Country:US
Mailing Address - Phone:414-289-9669
Mailing Address - Fax:414-289-9693
Practice Address - Street 1:2350 N LAKE DR STE 500
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-4528
Practice Address - Country:US
Practice Address - Phone:414-289-9669
Practice Address - Fax:414-289-9693
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI71180207V00000X
390200000X
WI71180-20207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program