Individual
DR. MICHELLE T WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1056 GREEN ACRES RD # 102-385, EUGENE, OR 97408-1505
(541) 515-6593
(351) 207-3929
Mailing address
1056 GREEN ACRES RD # 102-385, EUGENE, OR 97408-1505
(541) 515-6593
(351) 207-3929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18696
OR
Other
Enumeration date
06/03/2006
Last updated
06/03/2021
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