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Organization

BIRTHWISE, LLC

Active
Other names
BirthWise Health and Birth Center
Organization subpart
No

Provider details

NPI number
Authorized official
JILL M COULTER LM (OWNER)
(920) 574-3074
Entity
Organization

Contact information

Practice address
1703 S ONEIDA ST, SUITE C, APPLETON, WI 54915-1524
(920) 574-3074
(920) 202-3351
Mailing address
1703 S ONEIDA ST, SUITE C, APPLETON, WI 54915-1524
(920) 574-3074
(920) 202-3351

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary

Other

Enumeration date
05/01/2013
Last updated
05/01/2013
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