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Organization
DIVINITY BIRTH SERVICES, LLC
Active
Organization
DIVINITY BIRTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DANIELLE K HAUGE CPM, LM (OWNER, LICENSED MIDWIFE)
(608) 469-1879
Entity
Organization
Contact information
Practice address
3074 OAK ST, COTTAGE GROVE, WI 53527-9511
(608) 469-1879
Mailing address
3074 OAK ST, COTTAGE GROVE, WI 53527-9511
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
133-49
WI
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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