Individual
MARY E WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
70066
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39986400
—
WI
Enumeration date
06/14/2005
Last updated
03/14/2008
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