Organization
BRAINERD LAKES MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SONYA KATHERINE HESS CHAMBERLAIN LM, CPM (LICENSED MIDWIFE)
(218) 454-0909
Entity
Organization
Contact information
Practice address
1001 KINGWOOD ST STE 121, BRAINERD, MN 56401-3400
(218) 454-0909
(218) 260-4321
Mailing address
1001 KINGWOOD ST STE 121, BRAINERD, MN 56401-3400
(218) 454-0909
(218) 260-4321
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039
MN BOARD OF MEDICAL PRACTICE LICENSE NUMBER
MN
01
—
1730415720
INDIVIDUAL PRACTITIONER NPI
MN
Enumeration date
10/26/2016
Last updated
03/19/2021
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