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NPI Code Detail

MEDICARE: MICHELLE RENEE PEREZ MD

MEDICARE:   MICHELLE RENEE PEREZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician178155CA

General Provider Information

NPI Number : 1629531785
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE RENEE PEREZ MD
Provider Business Mailing Address
First Line : 441 E YOSEMITE AVE
Second Line :
City : MADERA
State : CA
Zip : 93638-3604
Country : US
Telephone Number : 559-664-4000
Fax Number : 559-675-5224
Provider Business Practice Location Address
First Line : 441 E YOSEMITE AVE
Second Line :
City : MADERA
State : CA
Zip : 93638-3604
Country : US
Telephone Number : 559-664-4000
Fax Number : 559-675-5224
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2019
Last Update Date : 09/16/2022

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Directions to “ MICHELLE RENEE PEREZ MD” Practice Location

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