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1700877875
MICHELE A PREVOST
FARGO, ND
NPI
1700877875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: WI 61797-20)
Enumeration Date
2005-10-28
Last Update Date
2022-07-21
Business Address
Dr. MICHELE A PREVOST M.D.
3000 32ND AVE S
FARGO, ND 58103-6132
Phone number: 701-364-8000
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Mailing Address
Dr. MICHELE A PREVOST M.D.
607 S 24TH AVE PMB384
WAUSAU, WI 54401
Phone number: 715-216-7795
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