Individual
STEPHEN J. MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17A TATRO RD, SUITE 201, GOFFSTOWN, NH 03045-2370
(603) 314-4500
(603) 314-4504
Mailing address
17A TATRO RD, SUITE 201, GOFFSTOWN, NH 03045-2370
(603) 314-4500
(603) 314-4504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11384
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-02434
UHC
NH
01
—
011384
TUFTS
NH
01
—
01YP03536NH01
ANTHEM ACES #
NH
01
—
080178216
RR MEDICARE
NH
01
—
101115804
W/C - DEPT OF LABOR
NH
01
—
2673303
AETNA
NH
05
—
30201764
—
NH
01
—
437851
CIGNA
NH
01
—
H50988
UPIN FOR ANTHEM REFERRALS
NH
01
—
NH2273
HPHC
NH
Enumeration date
10/13/2005
Last updated
07/02/2012
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