Individual
DARRIN MICHAEL MICHALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-8509
(603) 650-6061
Mailing address
ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-8509
(603) 650-6061
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0892
NH
363AM0700X
Medical Physician Assistant
MA001755L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002230
KEYSTONE HEALTH PLAN
PA
01
—
50053516
CAPITAL BLUE CROSS
—
01
—
P00266373
RAILROAD MEDICARE
—
Enumeration date
05/26/2006
Last updated
11/27/2024
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