Individual
MICHAEL R MACCHIAROLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-6564
Mailing address
6985 MILLER DR, WARREN, MI 48092-4725
(586) 264-3500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
005586
CT
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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