Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | R161988-5 | MN |
NPI | 1063481968 |
---|---|
Provider Name | Melissa M Hasler |
First Address | Minneapolis, MN 55407-3212 |
Second Address | Saint Paul, MN 55104-6842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q43472 | (02) | MN |