Individual
MS. MICHELLE L DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1840 F ST, GENEVA, NE 68361-2211
(402) 759-4485
(402) 759-4487
Mailing address
1840 F ST, GENEVA, NE 68361-2211
(402) 759-4485
(402) 759-4487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1725
NE
363AM0700X
Medical Physician Assistant
MA054128
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA043128
STATE LICENSE
PA
Enumeration date
10/01/2009
Last updated
05/29/2013
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