Provider Demographics
NPI:1861586448
Name:PATTEN, MICHAEL T (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:PATTEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4521 PGA BLVD # 295
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-3997
Mailing Address - Country:US
Mailing Address - Phone:561-624-7315
Mailing Address - Fax:561-624-7620
Practice Address - Street 1:4521 PGA BLVD # 295
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3997
Practice Address - Country:US
Practice Address - Phone:561-624-7315
Practice Address - Fax:561-624-7620
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME #0046220208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery