Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 18060006 | MN |
NPI | 1093292286 |
---|---|
Provider Name | Mary Gertrude Stemper |
First Address | Minneapolis, MN 55406-3540 |
Second Address | Minneapolis, MN 55406-3540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2018 |
Last Update Date | 20/07/2018 |