Organization Name: | CHARLES FRANCKOWIAK D.O., P.C. |
NPI Number: | 1952578080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES HENRY FRANCKOWIAK (PRESIDENT) |
Mailing Address: | 1257 N Main St Lapeer |
State: | MI US |
Postal Code: | 484461348 |
Phone Number: | 8106673501 |
Fax Number: | 8106671551 |
NPI Enumeration Date: | 05/08/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101006913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |