Individual
MICHAEL WARCUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2914 W MAIN ST, VISALIA, CA 93291-5731
(596) 272-8495
(559) 627-9772
Mailing address
2914 W MAIN ST, VISALIA, CA 93291-5731
(596) 272-8495
(559) 627-9772
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5553
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5553
MEDICAL LICENSE
—
Enumeration date
05/06/2016
Last updated
12/17/2021
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