Individual
CHARLES J TAUNT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2815 S PENNSYLVANIA AVE, STE 204, LANSING, MI 48910-3496
(517) 267-0200
(517) 267-1877
Mailing address
2815 S PENNSYLVANIA AVE, STE 204, LANSING, MI 48910-3496
(517) 267-0200
(517) 267-1877
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
CT014232
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000006523
PHP
MI
01
—
2053311925
BLUES
MI
05
—
4947523
—
MI
01
—
5331119
BCN
—
01
—
7424589
AETNA
—
Enumeration date
10/26/2005
Last updated
03/07/2023
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