Individual
DR. MICHELLE DYRHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
55 FRUIT STREET, GRB 444, BOSTON, MA 02114-0211
(571) 814-8868
Mailing address
55 FRUIT STREET, GRB 444, BOSTON, MA 02114
(571) 814-8868
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
274918
MA
207L00000X
Anesthesiology Physician
Primary
290864
MA
207L00000X
Anesthesiology Physician
A159217
CA
Other
Enumeration date
03/29/2017
Last updated
04/08/2022
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