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Organization

ROOTS MIDWIFERY, LLC

Active
Other names
Roots Community Birth Center
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE GRAY (BILLER, OFFICE ADMIN)
(651) 328-7699
Entity
Organization

Contact information

Practice address
1901 44TH AVE N, MINNEAPOLIS, MN 55412-1209
(612) 338-2784
Mailing address
1901 44TH AVE N, MINNEAPOLIS, MN 55412-1209
(612) 338-2784

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary

Other

Enumeration date
11/09/2015
Last updated
11/09/2015
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