Most Relevant Information
Provider Data
| NPI Number: | 1003329640 |
| Provider Name: | MICHELLE WHITT |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2017 |
| Last Updated: | 11/06/2017 |
Provider Practice Location
607 KENWOOD AVE APT 108
DULUTH
MN
558112181
Practice Location Phone/Fax
| Phone: | 6127098307 |
| Fax: |
Provider Mailing Location
607 KENWOOD AVE APT 108
DULUTH
MN
558112181
Provider Mailing Phone/Fax
| Phone: | 6127098307 |
| Fax: |