Organization
KEITH MICHL MD FACP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH W MICHL MD (INTERNAL MEDICINE)
(802) 362-9031
Entity
Organization
Contact information
Practice address
7252 MAIN STREET, MANCHESTER CTR, VT 05255
(802) 362-9031
(802) 362-7562
Mailing address
7252 MAIN STREET, PO BOX 1431, MANCHESTER CENTER, VT 05255
(802) 362-9031
(802) 362-7562
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0420007111
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006032
—
VT
Enumeration date
07/07/2008
Last updated
07/07/2008
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