Michael Daniel Warwas
Individual provider Active NPI Midwife · Bagley, MN
NPI 1609545557 · NPPES record last updated Jan 14, 2023
Key facts
- NPI
- 1609545557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- Practice address
- 13528 390TH St
Bagley, MN 56621-4462 - Phone
- (218) 750-7194
- NPI assigned
- Sep 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | Yes |
Addresses
Primary practice location
13528 390TH St
Bagley, MN 56621-4462
Mailing address
13528 390TH St
Bagley, MN 56621-4462
Phone (218) 750-7194
Other providers in Bagley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.