Provider Demographics
NPI:1720262066
Name:METOYER, PAULETTE MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:MARGARET
Last Name:METOYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1573
Mailing Address - Country:US
Mailing Address - Phone:734-429-5448
Mailing Address - Fax:
Practice Address - Street 1:250 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1573
Practice Address - Country:US
Practice Address - Phone:734-429-5448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-21
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301047228207R00000X
CAG32647207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine