Keith Michl Md Facp in Manchester Center - Specialist

Keith Michl Md Facp - NPI 1114180494

Keith Michl Md Facp is a Specialist in Manchester Center, Vermont. Keith Michl Md Facp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Keith Michl Md Facp is 1114180494. The last update date is 2008-07-07.

Keith Michl Md Facp's current location address is 7252 Main Street, Manchester Center, Vermont. You can contact this provider via phone number 8023629031 and fax number 8023627562. The mailing address for Keith Michl Md Facp is 7252 Main Street, Manchester Center, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Organization Keith Michl Md Facp
Address 7252 Main Street, Manchester Center, Vermont
Phone Number 8023629031
Fax Number 8023627562
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INTERNAL M
Authorized Official Name Michl W Keith
Credentials MD
Telephone Number 8023629031

NPI Number Detail

NPI Number 1114180494
Provider Enumeration Date 2008-07-07
Last Updated Date 2008-07-07

Provider Mailing Address Detail

Address 7252 Main Street
City Manchester Center
State Vermont (VT)
Post Code 5255
Phone Number 8023629031
Fax Number 8023627562

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 420007111
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6032 VT --

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FAQs about Keith Michl Md Facp

What is the Keith Michl Md Facp's 1114180494?

The Keith Michl Md Facp's NPI (National Provider Identifier) Number is 1114180494. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Keith Michl Md Facp is physically located?

The Keith Michl Md Facp is physically situated at the following address: 7252 Main Street, Manchester Center, VT, 5255.

What is the Keith Michl Md Facp's specialty and taxonomy code?

The Keith Michl Md Facp's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114180494 to Keith Michl Md Facp?

The Keith Michl Md Facp received its 1114180494 assignment from the Centers for Medicare & Medicaid Services on 2008-07-07.

As of what date were the Keith Michl Md Facp's details last updated?

The information pertaining to the Keith Michl Md Facp, including its address, specialty, and other details, was most recently updated on 2008-07-07.

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