Michael Nutt, IDC
NPI #1780882738 in Groton, Connecticut
Provider Information
- NPI Number
- 1780882738
- Entity Type
- Individual
- Name
- Michael Nutt, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Feb 8, 2008
Practice Location
- Address
- BLDG 517 TAUGTOG AVE
- Address 2
- NAVSUBSCOL
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349
- Phone
- (559) 381-5698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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