Individual
MICHELLE LYNN HIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
109 E MAIN ST, BOWLER, WI 54416-9702
(715) 350-9226
Mailing address
109 E MAIN ST, BOWLER, WI 54416-9702
(715) 350-9226
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5673-16
WI
Other
Enumeration date
11/16/2010
Last updated
03/28/2018
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