Provider Demographics
NPI:1649594854
Name:MICHAUD, MAURICE MICHAEL II (DC)
Entity Type:Individual
Prefix:DR
First Name:MAURICE
Middle Name:MICHAEL
Last Name:MICHAUD
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1142N MULDOON RD 116
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-6118
Mailing Address - Country:US
Mailing Address - Phone:907-433-9973
Mailing Address - Fax:907-677-1880
Practice Address - Street 1:550 E TUDOR RD STE 203
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-7371
Practice Address - Country:US
Practice Address - Phone:907-433-9973
Practice Address - Fax:907-677-1880
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-16
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK512111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor