Individual
PETER A. MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 BIRNIE AVENUE, SUITE 201, SPRINGFIELD, MA 01107-1107
(413) 786-4666
(413) 846-4756
Mailing address
300 BIRNIE AVENUE, SUITE 201, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1231
LICENSE
MA
Enumeration date
08/15/2006
Last updated
11/16/2023
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