Individual
CARL LOUIS MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
65 MECHANIC ST, SUITE 105, RED BANK, NJ 07701-1869
(732) 450-2610
Mailing address
65 MECHANIC ST, SUITE 105, RED BANK, NJ 07701-1869
(732) 450-2610
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00209600
NJ
Other
Enumeration date
12/11/2006
Last updated
01/22/2015
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