Provider Demographics
NPI:1679649826
Name:CONWAY, MICHELLE MARIE BRIGGS (CNMT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MARIE BRIGGS
Last Name:CONWAY
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Gender:F
Credentials:CNMT
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Mailing Address - Street 1:3032 MEYER CT
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1547
Mailing Address - Country:US
Mailing Address - Phone:
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Practice Address - Street 1:225 SMITH AVE N
Practice Address - Street 2:SUITE 100
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2534
Practice Address - Country:US
Practice Address - Phone:651-292-0616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine Technology