Individual
ROBERT JEROME MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1270 N MARINE DR STE 101, PMB 537, TAMUNING, GU 96913-4331
(619) 512-3406
Mailing address
1270 N MARINE DR STE 101, PMB 537, TAMUNING, GU 96913-4331
(619) 512-3406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M-1232
GU
207P00000X
Emergency Medicine Physician
P7512
TX
Other
Enumeration date
06/08/2007
Last updated
07/28/2016
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