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Individual

CHARLIE MICHAUDET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
321 MIDDLEFIELD RD STE 260, MENLO PARK, CA 94025-4010
(650) 498-6500
Mailing address
1300 CRANE ST, MENLO PARK, CA 94025-4283
(650) 497-8022

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C158940
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
C158940
CA

Other

Enumeration date
05/18/2010
Last updated
04/26/2024
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