Individual
DR. JEAN PIERRE MICHAUD
Active
Individual
DR. JEAN PIERRE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD12239
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10903250
CAQH
—
01
—
1295752657
ANTHEM BC/BS
—
01
—
4286074
AETNA
—
01
—
8481527
CIGNA/GREAT WEST HEALTHCARE
—
01
—
MD12239
MAINE LICENSE
ME
Enumeration date
07/15/2006
Last updated
09/19/2013
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