Individual
DR. RONALD E MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
458 OLD STREET RD, SUITE 200, PETERBOROUGH, NH 03458-1265
(603) 924-2144
(603) 924-3993
Mailing address
458 OLD STREET RD, SUITE 200, PETERBOROUGH, NH 03458-1265
(603) 924-2144
(603) 924-3993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11969
NH
207X00000X
Orthopaedic Surgery Physician
Primary
11969
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y005045NH02
ANTHEM BCBS MCH
NH
01
—
01Y005045NH03
ANTHEM BCBS MOA
NH
05
—
30203621
—
NH
Enumeration date
08/29/2006
Last updated
11/09/2015
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