Provider Demographics
NPI:1306028790
Name:TURNER, CHERYL (LICAC, DIPLAC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:LICAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 W 9 MILE RD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4808
Mailing Address - Country:US
Mailing Address - Phone:248-559-8889
Mailing Address - Fax:313-864-5044
Practice Address - Street 1:16000 W 9 MILE RD
Practice Address - Street 2:SUITE 404
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4808
Practice Address - Country:US
Practice Address - Phone:248-559-8889
Practice Address - Fax:313-864-5044
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI012544 NCCAOM171100000X
OH65000050171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist