Organization
BIRTHWISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL COULTER CPM, LM (LICENSED MIDWIFE)
(920) 574-3074
Entity
Organization
Contact information
Practice address
1703 S ONEIDA ST STE C, BIRTHWISE, LLC, APPLETON, WI 54915-1524
(920) 574-3074
(920) 202-3351
Mailing address
1703 S ONEIDA ST STE C, BIRTHWISE, LLC, APPLETON, WI 54915-1524
(920) 574-3074
(920) 202-3351
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
02/08/2013
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