Individual
DR. JEAN PIERRE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 VAN BUREN RD, ORTHOPEDIC SERVICES, CARIBOU, ME 04736-3567
(207) 493-5791
(207) 498-1326
Mailing address
PO BOX 40, CARIBOU, ME 04736-0040
(207) 498-2359
(207) 498-3947
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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