Individual
MELISSA MARIE THEIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2801 UNIVERSITY DR S, FARGO, ND 58103-6029
(701) 234-2000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
3063
MA
363A00000X
Physician Assistant
Primary
15016
MN
363A00000X
Physician Assistant
PAC1093
ND
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/05/2017
Last updated
01/09/2025
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