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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