Provider Demographics
NPI:1437490307
Name:PARENTEAU, MICHAEL A (MD, JD, MPH, BS)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:PARENTEAU
Suffix:
Gender:M
Credentials:MD, JD, MPH, BS
Other - Prefix:
Other - First Name:MIKE
Other - Middle Name:
Other - Last Name:PARENTEAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, JD, MPH, BS
Mailing Address - Street 1:48 MDG/RAF LAKENHEATH
Mailing Address - Street 2:OPC 41 BOX 15
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09461-5115
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:48 MDG/RAF LAKENHEATH
Practice Address - Street 2:OPC 41 UNIT 5115
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09461-5115
Practice Address - Country:US
Practice Address - Phone:314-236-8737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-02
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-177722083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine