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NPI Code Detail

MEDICARE: MICHELLE A CHAUSSEE PA-C

MEDICARE: MICHELLE A CHAUSSEE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant0705SD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
21922247980OTHERGARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922247980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE A CHAUSSEE PA-C
Provider Business Mailing Address
First Line : 101 S PLUM ST
Second Line :
City : VERMILLION
State : SD
Zip : 57069-3306
Country : US
Telephone Number : 605-624-8643
Fax Number :
Provider Business Practice Location Address
First Line : 101 S PLUM ST
Second Line :
City : VERMILLION
State : SD
Zip : 57069-3306
Country : US
Telephone Number : 605-624-8643
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2009
Last Update Date : 02/22/2010

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Directions to “ MICHELLE A CHAUSSEE PA-C” Practice Location

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