Organization
WHOLE HEALTH SERVICES LLC
Active
Organization
WHOLE HEALTH SERVICES LLC
Active
Other names
Madison Birth Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMIE GIESEKE (EXECUTIVE DIRECTOR)
(608) 821-0123
Entity
Organization
Contact information
Practice address
6720 FRANK LLOYD WRIGHT AVE, SUITE 103, MIDDLETON, WI 53562-1753
(608) 821-0123
(608) 821-0124
Mailing address
6720 FRANK LLOYD WRIGHT AVE, SUITE 103, MIDDLETON, WI 53562-1753
(608) 821-0123
(608) 821-0124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
177540-30
WI
176B00000X
Midwife
84-049
WI
261QB0400X
Birthing Clinic/Center
Primary
—
—
367A00000X
Advanced Practice Midwife
148850-032
WI
367A00000X
Advanced Practice Midwife
4484-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38256900
—
WI
01
—
52D1011155
CLIA
WI
05
—
98256900
—
WI
Enumeration date
11/08/2011
Last updated
02/01/2012
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