MEDICARE: MICHELLE L PERRON 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
1	208000000X	Pediatrics Physician	042-0009908	VT

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	:	1992761837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE L PERRON MD

Provider Business Mailing Address
First Line	:	600 BLAIR PARK RD STE 285
Second Line	:
City	:	WILLISTON
State	:	VT
Zip	:	05495-7586
Country	:	US
Telephone Number	:	802-288-1140
Fax Number	:	802-288-1144

Provider Business Practice Location Address
First Line	:	1127 NORTH AVE STE 41
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05408
Country	:	US
Telephone Number	:	802-846-8100
Fax Number	:	802-846-8107

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	06/30/2023

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Directions to “ MICHELLE L PERRON MD” Practice Location

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