Autumn Alise Cavender-Wilson, C.P.M., L.T.M

NPI #1902297203 in Granite Falls, Minnesota

Provider Information

NPI Number: 1902297203
Entity Type: Individual
Name: Autumn Alise Cavender-Wilson, C.P.M., L.T.M
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife
Credential: C.P.M., L.T.M
Enumeration Date: Feb 9, 2015
Last Updated: Feb 9, 2015

Practice Location

Address: 2643 540TH ST
City: Granite Falls
State: Minnesota
ZIP Code: 56241-3625
Phone: (320) 444-5645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife	176B00000X	Primary

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