Organization
STATELINE MIDWIVES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY HINZ CPM, LM (MIDWIFE)
(847) 533-5361
Entity
Organization
Contact information
Practice address
8009 ANTIOCH RD, SALEM, WI 53168-9525
(847) 533-5361
Mailing address
8009 ANTIOCH RD, SALEM, WI 53168-9525
(847) 533-5361
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
02/17/2019
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