Individual
MICHELLE LYNN SIEBRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
700 E 2ND ST, SUITE 2, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Mailing address
700 E 2ND ST, SUITE 2, IDA GROVE, IA 51445-1601
(712) 364-2514
(712) 364-4430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001714
IA
Other
Enumeration date
08/31/2006
Last updated
12/09/2019
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