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Individual

DR. PIERRE ROSS MICHAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
875 CENTERVILLE RD, WARWICK, RI 02886-4381
(401) 828-4840
(401) 828-9570
Mailing address
875 CENTERVILLE RD, WARWICK, RI 02886-4381
(401) 828-4840
(401) 828-9570

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD10018
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1300068
UNITED HEALTH CARE
RI
01
1670804001
CIGNA
RI
01
210117
BCBSRI
RI
01
405065
BLUE CHIP
RI
01
5726691
AETNA
RI
01
693649
TUFTS
RI
05
PM54867
RI
Enumeration date
07/27/2005
Last updated
06/07/2010
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