Provider Demographics
NPI:1528701984
Name:MICHAUD, OLIVIER (MD)
Entity type:Individual
Prefix:MR
First Name:OLIVIER
Middle Name:
Last Name:MICHAUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156, CREMAZIE STREET EAST
Mailing Address - Street 2:
Mailing Address - City:QUEBEC CITY
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:G1R 1Y2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1050 CH. SAINTE-FOY, HOSPITAL SAINT-SACREMENT
Practice Address - Street 2:
Practice Address - City:QUEBEC CITY
Practice Address - State:QUEBEC
Practice Address - Zip Code:G1S 4L8
Practice Address - Country:CA
Practice Address - Phone:418-682-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZR24141207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology