Individual
MARIE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 733-6607
(231) 737-0534
Mailing address
2700 BAKER ST FL 3, MUSKEGON, MI 49444-2157
(231) 733-6607
(231) 737-0534
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704249341
MI
Other
Enumeration date
11/11/2013
Last updated
12/12/2014
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