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Individual

MRS. ASHANTI DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 219-6649
Mailing address
2812 N OAKLAND AVE, MILWAUKEE, WI 53211-3565
(305) 213-0126

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
148962
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100083770
WI
Enumeration date
11/13/2018
Last updated
12/01/2021
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