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Organization
WILLOW MIDWIVES LTD
Active
Organization
WILLOW MIDWIVES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANDERSON HEITKAMP (PRESIDENT)
(612) 345-5920
Entity
Organization
Contact information
Practice address
3033 EXCELSIOR BLVD, SUITE 585, MINNEAPOLIS, MN 55416-4688
(952) 212-6801
Mailing address
3033 EXCELSIOR BLVD STE 585, MINNEAPOLIS, MN 55416-6400
(612) 345-5920
(844) 562-6828
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
—
—
261QB0400X
Birthing Clinic/Center
31316
MN
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801299128
—
MN
Enumeration date
10/01/2014
Last updated
03/16/2020
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