Provider Demographics
NPI:1689671281
Name:ROSENBLAT, FRANKLIN J (DO)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:J
Last Name:ROSENBLAT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44555 WOODWARD AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-5035
Mailing Address - Country:US
Mailing Address - Phone:248-332-8404
Mailing Address - Fax:248-332-0952
Practice Address - Street 1:44555 WOODWARD AVE STE 301
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5035
Practice Address - Country:US
Practice Address - Phone:248-332-8404
Practice Address - Fax:248-332-0952
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIFR010780207RI0200X
MI5101010780207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11-4185431Medicaid
MI0P12220001Medicare ID - Type Unspecified
MI11-4185431Medicaid