Individual
MS. MICHELE KREISBERG PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1101 4TH ST STE 313, SIOUX CITY, IA 51101-1952
(720) 226-1448
(712) 560-8247
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
004466
IA
174400000X
Specialist
7232
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C806277
MEDICARE PTAN
—
01
—
HO675746
BLUE SHIELD
CO
Enumeration date
05/05/2006
Last updated
05/23/2016
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