Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | R067991-0 | MN |
NPI | 1053360727 |
---|---|
Provider Name | Margaret Anne Plumbo |
First Address | Saint Paul, MN 55119-3627 |
Second Address | Woodbury, MN 55125-2298 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 08/07/2007 |