Individual
DAWN MARIE MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6421
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123H3MI
BCBS
MN
05
—
131219700
—
MN
01
—
264M1NO
BLUE CROSS BLUE SHIELD OF MN
MN
01
—
6406600
MEDICA
MN
01
—
HP31282
HEALTHPARTNERS
MN
Enumeration date
07/17/2006
Last updated
02/01/2017
Update your record
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