Individual
ANGELA BOISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
111 W MAIN ST, LA FARGE, WI 54639-0000
(608) 293-1081
(608) 480-8101
Mailing address
111 W MAIN ST, LA FARGE, WI 54639
(608) 293-1081
(608) 480-8101
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
—
—
176B00000X
Midwife
Primary
276-049
WI
Other
Enumeration date
08/21/2021
Last updated
05/05/2023
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