Doctor Name: | DR. RONALD E MICHALAK |
NPI Number: | 1093824591 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 11969 |
Business Practice Address: | 458 Old Street Rd Suite 200 Peterborough, NH - 034581265 |
Business Phone Number: | 6039242144 |
Business Fax Number: | 6039243993 |
Mailing Address: | 458 Old Street Rd, Suite 200 PETERBOROUGH |
State: | NH |
Postal Code: | 034581265 |
Phone Number: | 6039242144 |
Fax Number: | 6039243993 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 11969 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |