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Individual
MICHELLE A WYATT
Active
Individual
MICHELLE A WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
59430
MN
207VM0101X
Maternal & Fetal Medicine Physician
Primary
17243
ND
207VM0101X
Maternal & Fetal Medicine Physician
59430
MN
Other
Enumeration date
07/01/2014
Last updated
08/30/2021
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