Individual
MICHELE MADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM
Contact information
Practice address
597 CENTER AVE, SUITE 150, MARTINEZ, CA 94553-4640
(925) 313-6393
(925) 313-6188
Mailing address
597 CENTER AVE, SUITE 150, MARTINEZ, CA 94553-4640
(925) 313-6393
(925) 313-6188
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
1763
CA
367A00000X
Advanced Practice Midwife
Primary
1763
CA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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