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Individual
LAUREL J RIEDEL
Active
Individual
LAUREL J RIEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
05120
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-40100
MEDICA
MN
01
—
116097
UCARE
MN
01
—
46G44RI
BLUE CROSS BLUE SHIELD
MN
05
—
718840400
—
MN
Enumeration date
04/21/2006
Last updated
11/28/2007
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