Individual
AMY OPATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
736 MCKINLEY PL S, SAINT CLOUD, MN 56301-4007
(320) 267-3408
Mailing address
736 MCKINLEY PL S, SAINT CLOUD, MN 56301-4007
(320) 267-3408
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-21157
MA
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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