Individual
DR. KEITH W MICHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7252 MAIN ST, BUILDING A, MANCHESTER CENTER, VT 05255-1431
(802) 362-9031
(802) 362-7562
Mailing address
PO BOX 1431, MANCHESTER CENTER, VT 05255-1431
(802) 362-9031
(802) 362-7562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-000-7111
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006032
—
VT
Enumeration date
02/15/2006
Last updated
06/13/2023
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