Michael J Charboneau Jr DO PLLC

Surgery Physician · Monroe, MI

Organization Active NPI

NPI number 1104092337

Practice location

730 N Macomb St
Suite 329
Monroe, MI 48162-2900
Phone
(734) 241-4245
Fax
(734) 242-8903

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NPI record

NPI
1104092337
Entity type
Organization (Type 2)
Enumeration date
May 7, 2008
Last updated
May 7, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X 5101010247 MI

Authorized official

Name
Dr. Michael Joseph Charboneau Jr., DO
Title
Owner
Phone
(734) 241-4245

About Michael J Charboneau Jr DO PLLC

Michael J Charboneau Jr DO PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 730 N Macomb St, Suite 329, Monroe, MI 48162-2900. The NPI number 1104092337 was assigned on May 7, 2008 and the record was last updated on May 7, 2008.

Michael J Charboneau Jr DO PLLC lists a license in the registry: #5101010247 (MI) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Michael Joseph Charboneau Jr., DO, Owner.

Frequently asked questions

What is the NPI number of Michael J Charboneau Jr DO PLLC?

The NPI number is 1104092337.

What is the phone number of Michael J Charboneau Jr DO PLLC?

The phone number listed for the practice location is (734) 241-4245.

Where is Michael J Charboneau Jr DO PLLC located?

730 N Macomb St, Suite 329, Monroe, MI 48162-2900.

What is the taxonomy code for Michael J Charboneau Jr DO PLLC?

The primary taxonomy code is 208600000X – Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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