# CHARLES FRANCKOWIAK D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952578080
- **Authorized official:** DR. CHARLES HENRY FRANCKOWIAK D.O. (PRESIDENT)
- **Authorized official phone:** (810) 667-3501

## Contact information

- **Practice address:** 1257 N MAIN ST, LAPEER, MI 48446-1348
- **Practice address phone:** (810) 667-3501
- **Practice address fax:** (810) 667-1551
- **Mailing address:** 1257 N MAIN ST, LAPEER, MI 48446-1348
- **Mailing address phone:** (810) 667-3501
- **Mailing address fax:** (810) 667-1551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101006913 | MI | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0154423035 | HEALTHPLUS OF MICHIGAN | MI |
| 01 | — | 0854410194 | BLUE CROSS | MI |
| 01 | — | 0854410194 | BLUE CARE NETWORK | MS |
| 05 | — | 112712831 | — | MI |