Organization
MARVELOUS MILK SUPPLIES
Active
Parent organization
MEDELA, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDELA, INC
Authorized official
MRS. MARY J COLEMAN IBCLC (LACTATION CONSULTANT)
(608) 647-8124
Entity
Organization
Contact information
Practice address
101 BURNHAM ST, RICHLAND CENTER, WI 53581-2402
(608) 647-8124
Mailing address
101 BURNHAM ST, RICHLAND CENTER, WI 53581-2402
(608) 647-8124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
100-16303
WI
251K00000X
Public Health or Welfare Agency
Primary
1769-029
WI
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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