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Individual

SHAYNA ERICKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPM, LM

Contact information

Practice address
N3997 590TH ST, MENOMONIE, WI 54751-5657
(715) 308-2276
Mailing address
N3997 590TH ST, MENOMONIE, WI 54751-5657

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
61-049
WI

Other

Enumeration date
04/14/2011
Last updated
02/01/2013
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