Individual
DR. MICHAEL EDWARD PERRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 737-0500
(301) 737-3351
Mailing address
24035 THREE NOTCH ROAD, HOLLYWOOD, MD 20636
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D0068427
MD
207R00000X
Internal Medicine Physician
Primary
D0068427
MD
Other
Enumeration date
02/21/2007
Last updated
04/20/2018
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