Individual
DR. RICHARD MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6323 CORPORATE CT, FORT MYERS, FL 33919-3518
(239) 482-5311
Mailing address
6323 CORPORATE CT, SUITE A, FORT MYERS, FL 33919-3518
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN17436
FL
Other
Enumeration date
05/14/2008
Last updated
05/12/2009
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