Individual
MICHELLE NEICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 E CENTER ST, DOUGLAS, WY 82633-2446
(307) 358-7300
(307) 358-0831
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(307) 358-3432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11935A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11935A
STATE MEDICAL LICENSE
WY
Enumeration date
04/08/2013
Last updated
02/18/2019
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