Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE RAE WANNA, MD
ActiveMICHELLE RAE WANNA, MD is a Dermatology healthcare provider located in SIOUX FALLS, South Dakota. NPI 1386754307 is currently active in the NPPES registry. Verify at CMS.
Dermatology · SIOUX FALLS, SD
Registration Details
- NPI Number
- 1386754307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.770390485603 yrs)
- Last Updated
- Oct 15, 2018
- Licenses
-
7571 (SD)2006012197 (MO)
Practice Information
- Address
-
6701 S MINNESOTA AVESIOUX FALLS, SD, 571082591Browse SD providers · Browse ZIP 57108
- Phone
- 6053226960
- Fax
- 6053226961
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in SIOUX FALLS, SD
| Name | Credential | NPI |
|---|---|---|
| DAVID A. SHIELDS | MD | 1538164801 |
| GENE F. BURRISH | MD | 1881699288 |
| MARC A. GREEN | MD | 1508861915 |
| MICHAEL A. MCCONNELL | MD | 1457356552 |
| SARAH KATHLEEN SARBACKER | MD | 1598762544 |
| KELLY MICHELE JERSTAD | MD | 1417954470 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.