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Organization

WILLOW MIDWIVES LTD

Active
Other names
Willow Birth Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANDERSON HEITKAMP (PRESIDENT)
(612) 345-5920
Entity
Organization

Contact information

Practice address
3033 EXCELSIOR BLVD, SUITE 585, MINNEAPOLIS, MN 55416-4688
(612) 345-5920
(844) 562-6828
Mailing address
3033 EXCELSIOR BLVD, SUITE 585, MINNEAPOLIS, MN 55416-4688
(612) 345-5920
(844) 562-6828

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1750771143
MN
Enumeration date
01/23/2015
Last updated
11/23/2020
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