Individual
MICHELLE PATULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
1014 N STATE ST, MARION, IL 62959-2941
(618) 694-8990
Mailing address
1014 N STATE ST, MARION, IL 62959-2941
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
290-49
WI
176B00000X
Midwife
9000027
KY
374J00000X
Doula
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
N/A
—
Enumeration date
06/08/2013
Last updated
10/13/2021
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