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NPI Code Detail

MEDICARE: MR. CHARLIE FRANKLIN M.T.

MEDICARE: MR. CHARLIE FRANKLIN M.T.
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1891868444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHARLIE FRANKLIN M.T.
Provider Business Mailing Address
First Line : 21102 GREENVIEW RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-7118
Country : US
Telephone Number : 248-569-6537
Fax Number : 248-809-9948
Provider Business Practice Location Address
First Line : 1112 CATALPA DR
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-1125
Country : US
Telephone Number : 248-569-6578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 07/08/2007

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Directions to “ MR. CHARLIE FRANKLIN M.T.” Practice Location

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