Michelle Lynn Siebrecht, PA
Physician Assistant in Ida Grove, IA. Individual provider (NPI-1).
NPI number1346351970
StatusActive
Last updated in NPPESDec 9, 2019
Details
- NPI
- 1346351970
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lynn Siebrecht
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Dec 9, 2019
- Last updated
- Dec 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 001714 | IA | Yes |
Other names
- Michelle L Amick (Former Name)
Practice location
700 E 2nd StSuite 2
Ida Grove, IA 51445-1601
Phone 712-364-2514 · Fax 712-364-4430
Mailing address
700 E 2nd StSuite 2
Ida Grove, IA 51445-1601
Phone 712-364-2514 · Fax 712-364-4430
Other practice locations
801 5th St
Sioux City, IA 51101-1326
Sioux City, IA 51101-1326
Phone 712-279-2010 · Fax 712-279-2034
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