MEDICARE: MICHAEL J CORRIGAN MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003947664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL J CORRIGAN MD PC

Provider Business Mailing Address
First Line	:	67 SHAWVILLE RD
Second Line	:
City	:	SHELDON
State	:	VT
Zip	:	05483-8383
Country	:	US
Telephone Number	:	802-933-5702
Fax Number	:	802-933-5702

Provider Business Practice Location Address
First Line	:	12 CHURCH ST
Second Line	:
City	:	SWANTON
State	:	VT
Zip	:	05488-1403
Country	:	US
Telephone Number	:	802-868-3175
Fax Number	:	802-868-2923

Authorized Official
Title or Position	:	PHYSICIAN OWNER
Name	:	MICHAEL J CORRIGAN
Credential	:	M.D.
Telephone Number	:	802-868-3175

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	01/18/2019

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