| Doctor Name: | MR. MICHAEL JEROME MICHAELS |
| NPI Number: | 1982660056 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 12035 |
| Business Practice Address: | 17 Old Rollinsford Rd Suite 3 Dover, NH - 038202833 |
| Business Phone Number: | 6037425011 |
| Business Fax Number: | 6037423530 |
| Mailing Address: | 271 Washington Rd, RYE |
| State: | NH |
| Postal Code: | 038702457 |
| Phone Number: | 6034302884 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 11/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 12035 |
| 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. |