Individual
ROBIN STACEY COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
22 WILSON AVE NE STE 205, SAINT CLOUD, MN 56304-0440
(218) 640-2647
(320) 983-2998
Mailing address
PO BOX 941, ST. CLOUD, MN 56302
(218) 640-2647
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R176968-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
938437000
—
MN
Enumeration date
01/02/2007
Last updated
03/21/2018
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