Individual
MELISSA DODDS AVERY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNM PHD
Contact information
Practice address
2220 RIVERSIDE AVE, MAIL STOP 31700A, MINNEAPOLIS, MN 55454-1321
(612) 371-1600
(612) 371-1732
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
0971210
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39540400
—
MN
Enumeration date
02/21/2006
Last updated
07/08/2007
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