Michael Edmond Theriault, M.D.
NPI #1083078539 in Paoli, Pennsylvania
Provider Information
- NPI Number
- 1083078539
- Entity Type
- Individual
- Name
- Michael Edmond Theriault, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Credential
- M.D.
- Enumeration Date
- Apr 11, 2016
- Last Updated
- Nov 3, 2021
Practice Location
- Address
- 21 INDUSTRIAL BLVD
- City
- Paoli
- State
- Pennsylvania
- ZIP Code
- 19301-1610
- Phone
- (610) 647-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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