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NPI Code Detail

MEDICARE: ROBERT FRENCH CRANFORD

MEDICARE: ROBERT FRENCH CRANFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse4703123381MI

General Provider Information

NPI Number : 1134831084
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT FRENCH CRANFORD
Provider Business Mailing Address
First Line : 6500 N INKSTER RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1807
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6500 N INKSTER RD
Second Line :
City : DEARBORN HEIGHTS
State : MI
Zip : 48127-1807
Country : US
Telephone Number : 313-865-1580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2022
Last Update Date : 11/13/2024

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