Individual
MICHELLE M WIERSGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 883-1000
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
46431
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
512456500
—
MN
Enumeration date
07/12/2006
Last updated
04/12/2016
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