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Individual

AMY BANDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1925 WOODWINDS DR, SUITE 250, WOODBURY, MN 55125-4445
(651) 232-0100
(651) 232-6888
Mailing address
17791 IKARIA CT, LAKEVILLE, MN 55044-6839

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
11220-NM
OH
367A00000X
Advanced Practice Midwife
Primary
R206694-5
MN

Other

Enumeration date
02/02/2010
Last updated
08/14/2012
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