Divinity Birth Services, LLC
NPI #1841697992 in Cottage Grove, Wisconsin
Provider Information
- NPI Number
- 1841697992
- Entity Type
- Organization
- Organization Name
- Divinity Birth Services, LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 3, 2014
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 3074 OAK ST
- City
- Cottage Grove
- State
- Wisconsin
- ZIP Code
- 53527-9511
- Phone
- (608) 469-1879
Authorized Official
- Name
- MISS DANIELLE K HAUGE, CPM, LM
- Title
- OWNER, LICENSED MIDWIFE
- Phone
- (608) 469-1879
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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