Individual
GRETCHEN M GAIDA MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-5682
(802) 388-8322
Mailing address
104 PORTER DR, MIDDLEBURY, VT 05753-8527
(802) 388-8808
(802) 388-8322
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-0012102
VT
207R00000X
Internal Medicine Physician
222532
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2078881
—
MA
01
—
469726
TUFTS
MA
01
—
AA17100
HARVARD PILGRIM
MA
01
—
J27995
BLUE CROSS
MA
Enumeration date
02/17/2006
Last updated
11/20/2012
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