Individual
PAUL MICHAEL CHARPENTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 MARCELA DR, WILLITS, CA 95490
(707) 459-6115
Mailing address
3 MARCELA DR, WILLITS, CA 95490-5769
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301100821
MI
207X00000X
Orthopaedic Surgery Physician
Primary
A155923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740542380
—
MI
Enumeration date
06/11/2012
Last updated
02/12/2019
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