MEDICARE: JOHN FRANKLIN STRANDMARK MD

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	207R00000X	Internal Medicine Physician	45902	MI
2	207R00000X	Internal Medicine Physician	4301045902	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1103304521	OTHER		BCN

General Provider Information

NPI Number	:	1518002120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FRANKLIN STRANDMARK MD

Provider Business Mailing Address
First Line	:	500 KIRTS BLVD
Second Line	:	HARMONYCARES HOSPICE CREDENTIALING DEPT
City	:	TROY
State	:	MI
Zip	:	48084-4134
Country	:	US
Telephone Number	:	248-824-6609
Fax Number	:	855-618-6655

Provider Business Practice Location Address
First Line	:	500 KIRTS BLVD STE 250
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48084-4135
Country	:	US
Telephone Number	:	248-837-4390
Fax Number	:	248-591-0152

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	10/26/2023

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Directions to “ JOHN FRANKLIN STRANDMARK MD” Practice Location

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