Individual
MARIANNE C STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10228 DUPONT CIRCLE DR E STE 100, FORT WAYNE, IN 46825-1611
(602) 227-4012
(260) 209-5956
Mailing address
PO BOX 772437, DETROIT, MI 48277-2437
(317) 575-7304
(317) 575-7333
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000132A
IN
367A00000X
Advanced Practice Midwife
28172191A
IN
367A00000X
Advanced Practice Midwife
Primary
71006130A
IN
Other
Enumeration date
06/18/2014
Last updated
02/01/2023
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