Individual
SHERIDAN MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
985 CORPORATE WAY, PULASKI, WI 54162-2701
(920) 822-8388
Mailing address
2603 NICOLET DR, GREEN BAY, WI 54311-7221
(920) 634-9350
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001478-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2024
Last updated
01/29/2025
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