Individual
MICHELE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM CPM
Contact information
Practice address
511 E 43RD ST, AUSTIN, TX 78751-3908
(512) 420-0971
Mailing address
511 E 43RD ST, AUSTIN, TX 78751-3908
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
96151
TX
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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