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Individual
MICHELLE RENEE DORMANEN
Active
Individual
MICHELLE RENEE DORMANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
041.431303
IL
367A00000X
Advanced Practice Midwife
Primary
CNM04289
NULL
367A00000X
Advanced Practice Midwife
—
NULL
Other
Enumeration date
09/11/2018
Last updated
03/11/2022
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