# MARVELOUS MILK SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEDELA, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457502155
- **Legal business name:** MEDELA, INC
- **Authorized official:** MRS. MARY J COLEMAN IBCLC (LACTATION CONSULTANT)
- **Authorized official phone:** (608) 647-8124

## Contact information

- **Practice address:** 101 BURNHAM ST, RICHLAND CENTER, WI 53581-2402
- **Practice address phone:** (608) 647-8124
- **Mailing address:** 101 BURNHAM ST, RICHLAND CENTER, WI 53581-2402
- **Mailing address phone:** (608) 647-8124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 100-16303 | WI | — |
| 251K00000X | Public Health or Welfare Agency | 1769-029 | WI | Yes |

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 10/01/2008