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Individual

MADELEINE REGINA BURNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LM, CPM

Contact information

Practice address
5077 YORK AVE, COEUR D ALENE, ID 83815-7818
(208) 518-9327
(208) 625-2067
Mailing address
5077 N YORK AVE, COEUR D ALENE, ID 83815
(208) 518-9327

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MID-146
ID

Other

Enumeration date
08/31/2023
Last updated
02/14/2025
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