Individual
DIANE KAY BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMW
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3216
(218) 335-3204
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3216
(218) 335-3204
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
05414
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519T0BO
BCBS
MN
01
—
8HC966
MEDICARE
MN
Enumeration date
07/17/2007
Last updated
07/19/2007
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