Doctor Name: | MARTIN T PAUKERT |
NPI Number: | 1477719326 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A127547 |
Business Practice Address: | 6 Woodland Rd Suite 302 Saint Helena, CA - 945749501 |
Business Phone Number: | 7079680800 |
Business Fax Number: | 7079638861 |
Mailing Address: | 6 Woodland Rd, Suite 302 SAINT HELENA |
State: | CA |
Postal Code: | 945749501 |
Phone Number: | 7079680800 |
Fax Number: | 7079638861 |
NPI Enumeration Date: | 07/31/2008 |
NPI Last Update Date: | 08/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | A127547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |