Organization
ROOTS MIDWIFERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA POLSTON CPM (OWNER/MIDWIFE)
(612) 963-7770
Entity
Organization
Contact information
Practice address
302 7TH ST S, HOPKINS, MN 55343-7721
(612) 963-7770
(612) 223-6799
Mailing address
302 7TH ST S, HOPKINS, MN 55343-7721
(612) 963-7770
(612) 223-6799
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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