Stateline Midwives, LLC

NPI #1861965451 in Salem, Wisconsin

Provider Information

NPI Number: 1861965451
Entity Type: Organization
Organization Name: Stateline Midwives, LLC
Primary Specialty: Midwife
Enumeration Date: Jan 7, 2019
Last Updated: Feb 17, 2019

Practice Location

Address: 8009 ANTIOCH RD
City: Salem
State: Wisconsin
ZIP Code: 53168-9525
Phone: (847) 533-5361

Authorized Official

Name: KRISTY HINZ, CPM, LM
Title: MIDWIFE
Phone: (847) 533-5361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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