Individual
JESSICA MICHELLE MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 BEAM AVE, MAPLEWOOD, MN 55109-1169
(651) 232-7000
Mailing address
14373 UPPER 56TH ST N, OAK PARK HEIGHTS, MN 55082-6438
(651) 734-3633
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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