Individual
MS. MICHELLE L MACHESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6 SAN REMO DR., UVM MEDICAL CENTER, S. BURLINGTON, VT 05403-6378
(802) 862-3983
(802) 863-7994
Mailing address
6 SAN REMO DR., UVM MEDICAL CENTER, S. BURLINGTON, VT 05403-6378
(802) 862-3983
(802) 863-7994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0550030762
VT
363AS0400X
Surgical Physician Assistant
Primary
055-0030975
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069178
BLUE SHIELD
VT
01
—
796088
MVP
VT
01
—
8000474
LADIES FIRST
VT
05
—
9000274
—
VT
Enumeration date
11/01/2006
Last updated
03/21/2016
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