Provider Demographics
NPI:1508034232
Name:KARTONO WINARDI, FRANCISCA MS (DO)
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:MS
Last Name:KARTONO WINARDI
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Gender:F
Credentials:DO
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Mailing Address - Street 1:133 W MAIN ST STE 251
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1575
Mailing Address - Country:US
Mailing Address - Phone:248-963-5915
Mailing Address - Fax:248-278-4854
Practice Address - Street 1:133 W MAIN ST STE 251
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48167-1575
Practice Address - Country:US
Practice Address - Phone:248-963-5915
Practice Address - Fax:248-278-4854
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2021-04-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101017339207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology