Organization
BREASTFEEDING SUPPORT & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA DYER-ERTL (OWNER)
(860) 205-1385
Entity
Organization
Contact information
Practice address
576 ROMENCE RD STE 124, PORTAGE, MI 49024-3436
(860) 205-1385
Mailing address
3734 BELLFLOWER DR, PORTAGE, MI 49024-3970
(860) 205-1385
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
04/23/2021
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