MEDICARE: DR. ANGELA MARIE MICHAUD BS, MBA, DC

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	111N00000X	Chiropractor	007059	IA
2	111N00000X	Chiropractor	481	AK

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	:	1033383484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA MARIE MICHAUD BS, MBA, DC

Provider Business Mailing Address
First Line	:	2602 FAIRBANKS ST
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2824
Country	:	US
Telephone Number	:	907-646-2225
Fax Number	:	907-677-1880

Provider Business Practice Location Address
First Line	:	2602 FAIRBANKS ST
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99503-2824
Country	:	US
Telephone Number	:	907-646-2225
Fax Number	:	907-677-1880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	11/21/2025

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