Individual
DR. JEFFREY P MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
24 MAIN STREET, GOFFSTOWN, NH 03045-1708
(603) 497-3622
(603) 497-5325
Mailing address
24 MAIN STREET, GOFFSTOWN, NH 03045-1708
(603) 497-3622
(603) 497-5325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0645
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11364276
CAQH
NH
Enumeration date
10/23/2006
Last updated
11/17/2009
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