Individual
MICHELLE R REITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
558 KAYLA LN, HANOVER, MN 55341-4504
(612) 709-3681
Mailing address
558 KAYLA LN, HANOVER, MN 55341-4504
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1645273
MN
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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