Individual provider · Type 1 NPI
Michael Stanley Thibault, PAC
Physician Assistant · Danbury, CT
Practice location
25 Tamarack Avenue, Advanced Derm Care, Pc
Danbury, CT 06811
Fax (203) 748-7861
Other practice locations
- 6 Business Park Dr Ste 204, Branford, CT 06405-2988 · (203) 208-4082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | PA 1933 (CO) |
| Physician Assistant Primary | 363A00000X | 1389 (CT) |
| Dermatology Physician | 207N00000X | 001389 (CT) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1659324515
Michael Stanley Thibault, PAC's National Provider Identifier is 1659324515, issued on May 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Danbury, CT. The record was last updated on Jan 16, 2026.