Individual
MICHAEL J ROBICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1655 BERNARDIN AVE, SUITE 240, COLUMBIA, SC 29204-2039
(803) 779-3263
(803) 779-3207
Mailing address
1655 BERNARDIN AVE, SUITE 240, COLUMBIA, SC 29204-2039
(803) 779-3263
(803) 779-3207
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
539
SC
Other
Enumeration date
09/01/2006
Last updated
07/30/2013
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