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Individual

MARIANNE HOEPFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, MSN

Contact information

Practice address
420 W 4TH ST, SUITE 100, MISHAWAKA, IN 46544-1948
(574) 252-0300
(574) 252-0303
Mailing address
PO BOX 6489, SOUTH BEND, IN 46660-6489
(574) 472-6700
(574) 472-6746

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
72000109
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000577786
BCBS
IN
05
200532260
IN
Enumeration date
06/04/2006
Last updated
06/11/2009
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