Individual
DR. SUZANNE MARIE MICHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
272677
MA
207W00000X
Ophthalmology Physician
Primary
24467
NH
207W00000X
Ophthalmology Physician
A173232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272677
MASSACHUSETTS LICENSE NUMBER
MA
Enumeration date
06/15/2017
Last updated
01/04/2024
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