NPI 1841697992

Divinity Birth Services, LLC

Organisation Exclusive Provider Organization Cottage Grove, WI

Practice location

Address: 3074 Oak St, Cottage Grove, WI 53527-9511
Phone: (608) 469-1879

Authorised official

Name: Danielle K Hauge
Title: Owner, Licensed Midwife
Phone: (608) 469-1879

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 133-49 (WI)

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Registry record

NPI: 1841697992
Entity type: Organization
NPI issued: 3 Dec 2014
Record last updated: 3 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.