Individual
DR. RONALD E MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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