Individual
MARY M MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM MSN
Contact information
Practice address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
Mailing address
10 TOWER DR, SUN PRAIRIE, WI 53590-1239
(608) 825-3008
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
129427
WI
Other
Enumeration date
03/02/2006
Last updated
06/08/2011
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