Individual
DR. SAMANTHA MICHELENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 HOUSE AVE STE 400, CHEYENNE, WY 82001-3180
(307) 634-5216
Mailing address
2301 HOUSE AVE STE 400, CHEYENNE, WY 82001-3180
(307) 634-5216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10234A
WY
Other
Enumeration date
07/13/2011
Last updated
07/15/2020
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