Individual
CHARLES MICHALETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
795 E PONDEROSA PKWY, FLAGSTAFF, AZ 86001-3372
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
NUR-RN-LIC-264652
MT
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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