Individual
MICHELLE LYNN MACDANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37315 COMMUNITY RD UNIT 12, BAYFIELD, WI 54814-5088
(218) 404-9347
Mailing address
37315 COMMUNITY RD UNIT 12, BAYFIELD, WI 54814-5088
(218) 404-9347
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
WI
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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