Whalio Doctors

NPI 1023023801

Michelle L Wasson, PAC

Practitioner Physician Assistant Rapid City, SD

Practice location

Address
640 Flormann St, Rapid City, SD 57701
Phone
(605) 718-3300
Fax
(605) 718-3426
Mailing address
353 Fairmont Blvd Atten Medical Staff Services, Rapid City, SD 57701-6000

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0477 (SD)

Registry record

NPI
1023023801
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Jul 2006
Record last updated
20 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.