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Organization

WOMEN TO WOMEN MIDWIFERY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN SUE FRIES CNM (OWNER)
(419) 547-3558
Entity
Organization

Contact information

Practice address
402 W MCPHERSON HWY, CLYDE, OH 43410-1133
(419) 547-3558
(419) 547-1301
Mailing address
402 W MCPHERSON HWY, CLYDE, OH 43410-1133
(419) 547-3558
(419) 547-1301

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM00737
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000142326
ANTHEM
01
292565992003
MEDICAL MUTUAL
Enumeration date
10/19/2005
Last updated
08/22/2020
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