Individual
MICHELLE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13961 60TH ST N, STILLWATER, MN 55082-1053
(715) 235-2211
Mailing address
506 CRESCENT ST, MENOMONIE, WI 54751-1829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001108-15
WI
Other
Enumeration date
06/23/2015
Last updated
11/20/2017
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