Individual
MICHELLE STORLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
1246 GORMAN AVE, WEST SAINT PAUL, MN 55118-2406
(651) 457-6231
(651) 457-6231
Mailing address
1246 GORMAN AVE, WEST SAINT PAUL, MN 55118-2406
(651) 457-6231
(651) 457-6231
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
DT25
MN
Other
Enumeration date
11/13/2013
Last updated
03/13/2025
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