Organization

Country Midwife Llc

May also be knows as Country Midwife

Legal Business Name

Country Midwife Llc

Also Known As

Country Midwife

NPI Number

1255505525

NPI Type

Organization

Enumeration Date

04/17/2008

Specialties

(Taxonomies)

Licenses

State

Wisconsin

License Number

31-049

Contact
Information

Purpose

Mailing
Location

Address

1638 DECKNER AVE
1638 DECKNER AVE

City

Green Bay
Green Bay

State

WI
WI

Postal Code

54302-2640
54302-2640

Country

US
US

Telephone Number

(920) 562-9058
(920) 562-9058

Authorized Official

Name

Miss Stacy Vandenput

Title or Position

MIDWIFE, MANAGER

Telephone Number

(920) 562-9058

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/05/2010

Provider Address