Angie Detwiler, CNM
NPI #1033654470 in Bloomington, Illinois
Provider Information
- NPI Number
- 1033654470
- Entity Type
- Individual
- Name
- Angie Detwiler, CNM
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Advanced Practice Midwife
- Credential
- CNM
- Enumeration Date
- Dec 20, 2016
- Last Updated
- Dec 20, 2016
Practice Location
- Address
- 6 WESTPORT CT
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-8233
- Phone
- (309) 722-4020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Advanced Practice Midwife |
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