Individual
DEBRA A KASSULKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2001 BLOOMINGTON AVE, CUHHC, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Mailing address
2001 BLOOMINGTON AVE, CUHHC, MINNEAPOLIS, MN 55404-3074
(612) 638-0700
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
R088923-4
MN
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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