Individual
MORGAN MICHAELA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 4TH AVE SW, PIPESTONE, MN 56164-1890
(507) 825-5811
Mailing address
7900 E ARROWHEAD PKWY APT 328, SIOUX FALLS, SD 57110-7021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15324
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
02/03/2026
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