Individual
HOLLY K. MICHAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
76 CARLON DR, #A, NORTHAMPTON, MA 01060-2373
(413) 584-4637
(413) 584-4787
Mailing address
76 CARLON DR, #A, NORTHAMPTON, MA 01060-2373
(413) 584-4637
(413) 584-4787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
221242
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000028880
BMC
MA
01
—
04-3194547
NORTH AMERICAN PREFERRED
MA
05
—
2075725
—
MA
01
—
221242
CONNECTICARE
MA
01
—
35140
HNE
MA
01
—
3632800
AETNA
MA
01
—
469819
TUFTS
MA
01
—
6850767
CIGNA
MA
01
—
AA18165
HARVARD PILGRIM
MA
01
—
J27862
BCBSMA
MA
Enumeration date
03/23/2006
Last updated
10/24/2011
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