Individual
MICHAEL DESHAIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
704 HEBRON AVE, SUITE 201, GLASTONBURY, CT 06033-5020
(860) 659-1379
(860) 659-4648
Mailing address
PO BOX 587, ROCKY HILL, CT 06067-0587
(860) 258-3480
(860) 571-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038635
CT
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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