Organization
LIFECIRCLE MIDWIFERY & WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA DEFILIPPO LICENSED MIDWIFE (PRESIDENT)
(715) 338-3499
Entity
Organization
Contact information
Practice address
32 5TH AVE., SHELL LAKE, WI 54871-0514
(715) 338-3499
Mailing address
PO BOX 514, SHELL LAKE, WI 54871-0514
(715) 338-3499
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25-049
WI
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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