# BIRTHWISE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588856686
- **Authorized official:** JILL COULTER CPM, LM (LICENSED MIDWIFE)
- **Authorized official phone:** (920) 574-3074

## Contact information

- **Practice address:** 1703 S ONEIDA ST STE C, BIRTHWISE, LLC, APPLETON, WI 54915-1524
- **Practice address phone:** (920) 574-3074
- **Practice address fax:** (920) 202-3351
- **Mailing address:** 1703 S ONEIDA ST STE C, BIRTHWISE, LLC, APPLETON, WI 54915-1524
- **Mailing address phone:** (920) 574-3074
- **Mailing address fax:** (920) 202-3351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QB0400X | Birthing Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2007
- **Last updated:** 02/08/2013