Individual
MR. MICHAEL EARL MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1001 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8083
(907) 631-7800
Mailing address
316 DILLONS MILL RD, BOONES MILL, VA 24065
(570) 506-6180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110003403
VA
363A00000X
Physician Assistant
Primary
PADA1165
AK
Other
Enumeration date
09/17/2010
Last updated
08/23/2024
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