Individual
TAYLOR MICHELLE LOUISE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1700 TUTTLE ST, BARABOO, WI 53913-3319
(608) 355-3800
(608) 355-7004
Mailing address
636 GERRY ST, WOODSTOCK, IL 60098-3652
(815) 307-1722
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285425272
—
WI
Enumeration date
05/16/2025
Last updated
09/17/2025
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