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Gordon Mcmichael, HM1, USN — NPI 1265202121, Groton, CT | NPI Central

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NPI 1265202121

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Gordon Mcmichael, HM1, USN

NPI 1265202121 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1265202121
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: HM1, USN
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

75 Osprey Dr

Groton, CT 06340-3150

Phone: (814) 923-7721

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

75 Osprey Dr

Groton, CT 06340-3150

Registry dates

Enumerated: 2024-01-03
Last updated: 2024-01-03
Certified: 2024-01-03

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.