| Doctor Name: | MICHAEL GUERIN |
| NPI Number: | 1114329125 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 3187 |
| Business Practice Address: | 1579 Straits Tpke Middlebury, CT - 067621835 |
| Business Phone Number: | 2035980700 |
| Business Fax Number: | |
| Mailing Address: | 24314 Town Walk Dr, HAMDEN |
| State: | CT |
| Postal Code: | 065183768 |
| Phone Number: | 2075776485 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2014 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 3187 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |