Michelle A Wyatt
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
3000 32nd Ave S
Fargo
, North Dakota 58103-6132
Michelle A Wyatt
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
3000 32nd Ave S
Fargo
, North Dakota 58103-6132
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Michelle A Wyatt
- 1702 University Dr S
- Fargo, ND
- Zip : 58103-4940
- Phone :
Second Address
- Michelle A Wyatt
- 3000 32nd Ave S
- Fargo, ND
- Zip : 58103-6132
- Phone : (701) 364-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 59430 | MN |
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 17243 | ND |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 59430 | MN |
National Provider Identifier
| NPI | 1255747051 |
|---|---|
| Provider Name | Michelle A Wyatt |
| First Address | Fargo, ND 58103-4940 |
| Second Address | Fargo, ND 58103-6132 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2014 |
| Last Update Date | 30/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.