Individual
DR. MICHELLE LISA OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
745 STATE AVE, SUITE A, DICKINSON, ND 58601-4661
(701) 483-1106
(701) 483-1121
Mailing address
745 STATE AVE, SUITE A, DICKINSON, ND 58601-4661
(701) 483-1106
(701) 483-1121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
608
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18519
—
ND
Enumeration date
10/25/2006
Last updated
07/08/2007
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