NPI 1386754307 · live from the CMS NPI Registry
Michelle Rae Wanna, MD
Dermatology in Sioux Falls, SD. National Provider Identifier 1386754307, active.
NPI record
| NPI | 1386754307 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 6701 S Minnesota Ave, Sioux Falls, SD 57108 |
| Practice phone | 605-322-6960 |
| Mailing address | Po Box 86370, Sioux Falls, SD 57118 |
| Enumerated | August 30, 2006 |
| Last updated | October 15, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | 7571 (SD) |
| Dermatology | 207N00000X | 2006012197 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.