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Individual

MS. MELISSA HANNER FRISVOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R1182312
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
070912300
MN
05
43918100
WI
Enumeration date
11/29/2005
Last updated
12/30/2015
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