Michael J Trudeau (NPI# 1689699233, PAC ID# 7719133438) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689699233 |
| PAC ID by PECOS | 7719133438 |
| Professional Enrollment ID | I20120813000765 |
| Full Name | Michael J Trudeau |
| Organization Legal Name | EBTKS MEDICAL INC |
| Address |
4695 Hallmark Pkwy San Bernardino CA 92407-1817 |
| Phone Number | 9096483551 |
| Gender | M |
| Medical School | LOS ANGELES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1985 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8628224243 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4695 Hallmark Pkwy, San Bernardino, CA 92407-1817 | 9096483551 | EBTKS MEDICAL INC |
| Organization Legal Name | EBTKS MEDICAL INC |
| Physicians | 1 |
| Street Address |
4695 HALLMARK PKWY |
| City | SAN BERNARDINO |
| State | CA |
| Zip | 92407-1817 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto T Carpio | Nurse Practitioner | Ronald Rigor Md Inc | 4280 Cypress Dr, San Bernardino, CA 92407-2960 |
| Yan Zhang | Internal Medicine | 3655 Bilberry Rd, San Bernardino, CA 92407-9089 |
| City | SAN BERNARDINO |
| Zip Code | 92407 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SAN BERNARDINO + CHIROPRACTIC |
Please comment or provide details below to improve the information on Michael J Trudeau.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.