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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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