Individual
MICHELLE A CHAUSSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 S PLUM ST, VERMILLION, SD 57069-3306
(605) 624-8643
Mailing address
101 S PLUM ST, VERMILLION, SD 57069-3306
(605) 624-8643
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0705
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922247980
RAILROAD MEDICARE
GA
05
—
6831830
—
SD
Enumeration date
02/16/2009
Last updated
02/22/2010
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