MEDICARE: MR. JOHN F. TURNER JR. MLSW

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
1	104100000X	Social Worker	6801046702	MI

General Provider Information

NPI Number	:	1417930413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN F. TURNER JR. MLSW

Provider Business Mailing Address
First Line	:	5489 N SYCAMORE ST
Second Line	:
City	:	BURTON
State	:	MI
Zip	:	48509-1350
Country	:	US
Telephone Number	:	810-743-9942
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 N SAGINAW ST
Second Line	:
City	:	FLINT
State	:	MI
Zip	:	48505-3994
Country	:	US
Telephone Number	:	810-787-5109
Fax Number	:	810-789-9222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	07/08/2007

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