Individual
MELISSA J MICHAUD
Active
Individual
MELISSA J MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1133
ME
363A00000X
Physician Assistant
PA255
ME
363AM0700X
Medical Physician Assistant
Primary
PA255
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114189164
—
ME
Enumeration date
07/01/2008
Last updated
03/20/2025
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