Healthcare Provider Details

I. General information

NPI: 1336481001
Provider Name (Legal Business Name): MORNING STAR BIRTH CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2013
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6111 EXCELSIOR BLVD
ST LOUIS PARK MN
55416-2703
US

IV. Provider business mailing address

321 13TH ST SE
MENOMONIE WI
54751-2032
US

V. Phone/Fax

Practice location:
  • Phone: 612-922-4784
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAULA BERNINI FEIGAL
Title or Position: CEO
Credential:
Phone: 715-556-2822