Organization
APPLETON COMMUNITY BIRTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA RAINE LM, CPM (MIDWIFE)
(920) 882-6200
Entity
Organization
Contact information
Practice address
308 E NORTHLAND AVE, APPLETON, WI 54911-2163
(920) 882-6200
(920) 882-1798
Mailing address
308 E NORTHLAND AVE, APPLETON, WI 54911-2163
(920) 882-6200
(920) 882-1798
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
WI
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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