Individual
MICHELLE WISEHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 334-2381
Mailing address
610 HUNTERS RUN ST APT 102, WATFORD CITY, ND 58854-3329
(701) 609-0224
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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