Basic Information
Provider Information
NPI: 1942840558
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARCHAND-GAREAU
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: MICHAEL MARCHAND - UC DAVIS EYE CENTER
Address2: 4860 Y STREET, SUITE 2400
City: SACRAMENTO
State: CA
PostalCode: 95817
CountryCode: US
TelephoneNumber: 9167346891
FaxNumber: 9167346197
Practice Location
Address1: MICHAEL MARCHAND - UC DAVIS EYE CENTER
Address2: 4860 Y STREET, SUITE 2400
City: SACRAMENTO
State: CA
PostalCode: 95817
CountryCode: US
TelephoneNumber: 9167346891
FaxNumber: 9167346197
Other Information
ProviderEnumerationDate: 01/11/2020
LastUpdateDate: 07/24/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/24/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207WX0009XA169323CAY    

No ID Information.


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