Marvelous Milk Supplies

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

1769-029 Issued in WI

Legal business name

MARVELOUS MILK SUPPLIES

Practice address

101 Burnham St
Richland Center, WI 53581-2402

Phone

(608) 647-8124

NPI assigned

Oct 1, 2008

Organization subpart

Yes

Parent organization

MEDELA, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary J Coleman, IBCLC

Title

Lactation Consultant

Phone

(608) 647-8124

Specialties & licenses 2

Addresses

Part of

Medela Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1457502155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BURNHAM ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812402",
            "telephone_number": "608-647-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BURNHAM ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812402",
            "telephone_number": "608-647-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVELOUS MILK SUPPLIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDELA, INC",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LACTATION CONSULTANT",
        "authorized_official_telephone_number": "608-647-8124",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "100-16303",
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WI",
            "license": "1769-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Maglish
• Anita Lois Mainvel, CPM, LM
• Males Mainviel, NURSE PRACTITIONER
• Rebecca K Malkow, FNP
• Amber Marshall, RN
• Shelly Maxwell, CES, RCEP
• David Joseph May, M.D.
• Bryan D McCarvel, CRNA
• Richard Thomas McLaughlin, PT
• Bethany McLimans, DPT

• Public Health or Welfare Agency in Richland Center, WI
• Providers in Richland Center, WI by specialty
• Public Health or Welfare Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.