Most Relevant Information
Provider Data
| NPI Number: | 1003212176 |
| Provider Name: | MICHELLE CUNNINGHAM |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | R 179219-7 |
Most Important Dates
| Enumeration Date: | 11/17/2014 |
| Last Updated: | 11/17/2014 |
Provider Practice Location
8650 HUDSON BLVD N
SUITE 235
LAKE ELMO
MN
550429747
Practice Location Phone/Fax
| Phone: | 6517027400 |
| Fax: |
Provider Mailing Location
8990 SPRINGBROOK DR NW
SUITE 250
COON RAPIDS
MN
554335850
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |