Organization
HERITAGE MIDWIFERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN C DAHL CPM, LM (PRESIDENT)
(612) 245-1887
Entity
Organization
Contact information
Practice address
6336 55TH AVE, PRINCETON, MN 55371-6423
(612) 245-1887
(763) 389-8316
Mailing address
6336 55TH AVE, PRINCETON, MN 55371-6423
(612) 245-1887
(763) 389-8316
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
1014
MN
Other
Enumeration date
02/10/2007
Last updated
08/22/2020
About Stedi
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