Individual
DR. JEFFREY S. MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15 MOLLISON WAY, SUITE 301, LEWISTON, ME 04240-5805
(207) 777-4440
(207) 777-8197
Mailing address
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1637
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285540099
—
ME
Enumeration date
07/02/2006
Last updated
04/29/2024
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