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NPI Profile for RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA in BAYFIELD, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Perinatal |
163WP1700X |
| NPI # | 1902077464 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/12/2008 | |
| Last updated | 03/14/2008 - About 18 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA
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RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWA