Healthcare Provider Details

I. General information

NPI: 1356187512
Provider Name (Legal Business Name): MICHAEL PAUL HUTCHINSON PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 STATE HWY RTE 6
WELLFLEET MA
02667-7402
US

IV. Provider business mailing address

PO BOX 2796
ORLEANS MA
02653-6796
US

V. Phone/Fax

Practice location:
  • Phone: 508-349-3131
  • Fax: 508-487-6298
Mailing address:
  • Phone: 508-349-3131
  • Fax: 508-487-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA101489
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: