Individual
DR. MICHELLE CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
405 S 30TH ST, LARAMIE, WY 82070-5143
(307) 742-2020
Mailing address
1238 BENNETT RD, FORT COLLINS, CO 80521-4550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
274T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116836300
—
WY
Enumeration date
02/01/2006
Last updated
04/15/2009
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