MR. Michael R Vigneau, ATC

NPI #1700959442 in Chestnut Hill, Massachusetts

Provider Information

NPI Number: 1700959442
Entity Type: Individual
Name: MR. Michael R Vigneau, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ATC
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 140 COMMONWEALTH AVE
City: Chestnut Hill
State: Massachusetts
ZIP Code: 02467-3800
Phone: (617) 552-4828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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