Organization
VETERANS HOSPITAL, WRJ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE THERESE MICHAELS PA-C (SURGICAL PA)
(802) 295-9363
Entity
Organization
Contact information
Practice address
215 N MAIN ST, WHITE RIVER JUNCTION, VT 05009-0001
(802) 295-9369
Mailing address
166 EDSON BURKE RD, WEST WINDSOR, VT 05089-4411
(802) 484-7897
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
343
NH
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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