Provider Demographics
NPI:1346426848
Name:PLANTE, JULIE CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:CHRISTINE
Last Name:PLANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:CHRISTINE
Other - Last Name:PLANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6574 OAKMONT DR
Mailing Address - Street 2:STE B
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95409-5958
Mailing Address - Country:US
Mailing Address - Phone:707-542-5664
Mailing Address - Fax:707-542-6887
Practice Address - Street 1:6574 OAKMONT DR
Practice Address - Street 2:STE B
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95409-5958
Practice Address - Country:US
Practice Address - Phone:707-542-5664
Practice Address - Fax:707-542-6887
Is Sole Proprietor?:No
Enumeration Date:2008-01-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102329207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology