Individual
ELLYN WYMAN-GROTHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBW
Contact information
Practice address
1619 DAYTON AVE STE 316, SAINT PAUL, MN 55104-6276
(952) 250-0317
Mailing address
455 VIEW ST, SAINT PAUL, MN 55102-3427
(952) 250-0317
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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