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NPI Code Detail

MEDICARE: UNIQUE MICHAUD MD

MEDICARE: UNIQUE MICHAUD MD
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician78058MA

Other Identifiers

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

General Provider Information

NPI Number : 1437197993
Entity Type Code : Individual
Provider Name (Legal Business Name) : UNIQUE MICHAUD MD
Provider Business Mailing Address
First Line : 8 HILLCREST RD
Second Line :
City : CANTON
State : MA
Zip : 02021-1135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 637 WASHINGTON ST
Second Line :
City : DORCHESTER CENTER
State : MA
Zip : 02124-3510
Country : US
Telephone Number : 617-825-9660
Fax Number : 617-288-7898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 12/20/2011

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Directions to “ UNIQUE MICHAUD MD” Practice Location

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