Individual
MR. ANTHONY LANE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Mailing address
1301 PUNCHBOWL ST, HONOLULU, HI 96813-2499
(808) 691-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A124219
CA
2085R0001X
Radiation Oncology Physician
Primary
MD18975
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812398
—
HI
01
—
H109813
MEDICARE
HI
Enumeration date
04/03/2009
Last updated
02/23/2023
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