MICHELLE RAE WANNA (NPI# 1386754307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386754307 |
| Entity Type | Individual |
| Full Name | MICHELLE RAE WANNA |
| Credential | MD |
| Practice Address |
6701 S Minnesota Ave Sioux Falls SD 57108-2591 |
| Mailing Address |
Po Box 86370 Sioux Falls SD 57118-6370 |
| Practice Telephone | 6053226960 |
| Practice Fax Number | 6053226961 |
| Mailing Telephone | 6053227510 |
| Mailing Fax Number | 6053226475 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 7571 | SD | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 2006012197 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 5900570 | 05 |
| Street Address |
6701 S MINNESOTA AVE |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57108-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216074 | Avera Mckennan | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| 1669836276 | Emily Elizabeth Gaster | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2016-04-09 |
| 1154756054 | Sarah Catherine Engbers | Physician Assistant | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2013-09-10 |
| 1407141344 | Avera Mckennan | Pharmacy | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2011-06-17 |
| 1629373550 | Kimberly Dawn Dewing | Physician Assistant | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2011-01-25 |
| 1578737367 | Jenny Lynn Nelson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2008-04-14 |
| 1669530671 | Heidi Marie Furth | Nurse Practitioner | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-12-04 |
| 1295701092 | Jana B Johnson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| 1720054539 | Brian Dennis Knutson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735764 | Faith Carlson | Counselor | 5621 S. Southeastern Avenue, Suite 5625, Sioux Falls, SD 57108 | 2020-09-18 |
| 1063020196 | Emily Mensen | Physical Therapist | 4700 W 69th St, Sioux Falls, Sioux Falls, SD 57108 | 2020-07-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1265935829 | Sioux Falls Audiology Associates | Clinic/Center | 4948 E. 57th Street, Sioux Falls, SD 57108 | 2018-03-09 |
| 1184124935 | Haley Elizabeth Luond | Chiropractor | 4900 E 57th Street, Suite B, Sioux Falls, SD 57108 | 2018-02-19 |
| 1770098881 | Yinan Zhao | Acupuncturist | 6001 S Sharon Ave Ste 6, Sioux Falls, SD 57108 | 2017-12-12 |
| 1447780796 | Sioux Falls Specialty Hospital, LLP | Special Hospital | 7600 South Minnesota Ave, Sioux Falls, SD 57108 | 2017-06-19 |
| 1952831786 | Brock T Nelsen | Dentist | 5121 S Solberg Ave #120, Sioux Falls, SD 57108 | 2017-06-14 |
| 1629517552 | Sarah Kenyon | Chiropractor | 6116 S Lyncrest Ave Ste 105, Sioux Falls, SD 57108 | 2017-02-12 |
| 1386029460 | Michelle Anne Pliska | Counselor | 5621 Southeastern Ave, Sioux Falls, SD 57108 | 2015-07-30 |
| Find all providers in zip 57108 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992996771 | Valerie Flynn | Dermatology | 6701 S. Minnesota Ave, Sioux Falls, SD 57108-2591 | 2007-08-06 |
| 1346216074 | Avera Mckennan | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2006-02-23 |
| 1669448387 | Dennis D Knutson | Dermatology | 116 W. 69th St., Ste. 100, Sioux Falls, SD 57108 | 2006-02-23 |
| 1598762544 | Sarah K Sarbacker | Dermatology | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 2005-07-06 |
| 1669836276 | Emily Elizabeth Gaster | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2016-04-09 |
| 1740623776 | Kendra D Watson | Dermatology | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 2013-04-09 |
| 1003051020 | Lazaderm Skin Care Centre PC | Dermatology | 5011 S Louise Ave, Sioux Falls, SD 57108-2268 | 2008-12-04 |
| 1982870820 | Carmen Marie Schwartz | Dermatology | 4950 S Minnesota Ave, Sioux Falls, SD 57108-2864 | 2008-04-30 |
| 1578737367 | Jenny Lynn Nelson | Dermatology | 6701 S Minnesota Ave, Sioux Falls, SD 57108-2591 | 2008-04-14 |
| 1023203619 | Sanford Clinic | Dermatology | 5019 S Western Ave, Ste 200, Sioux Falls, SD 57108-5095 | 2007-09-07 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.