Individual
MS. SAMANTHA CORI GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, LM
Contact information
Practice address
1703 S ONEIDA ST, APPLETON, WI 54915-1524
(920) 574-3074
Mailing address
1703 S ONEIDA ST, APPLETON, WI 54915-1524
(920) 574-3074
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
19149
WI
Other
Enumeration date
05/04/2012
Last updated
10/29/2015
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