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Contact Information

MICHELLE A WYATT, MD
3000 32ND AVE S
FARGO, ND58103-6132
 Phone: 701-364-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MICHELLE A WYATT · (Female)

NPI Number 1255747051
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2014
Last updated 08/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 59430
  • ND License # 17243
Hospital affiliation(s)
  • ESSENTIA HEALTH-FARGO - (Acute Care)
    3000 32ND AVE SOUTH
    FARGO, ND 58104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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