Healthcare Provider Details

I. General information

NPI: 1477483626
Provider Name (Legal Business Name): MIDLIFE MIDWIFE MKE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3970 N OAKLAND AVE STE 703
SHOREWOOD WI
53211-2265
US

IV. Provider business mailing address

1616 E OLIVE ST
SHOREWOOD WI
53211-1915
US

V. Phone/Fax

Practice location:
  • Phone: 414-939-6262
  • Fax: 414-209-4346
Mailing address:
  • Phone: 773-835-2571
  • Fax: 414-209-4346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name: DR. ALYSON LIPPMAN
Title or Position: MIDWIFE/OWNER
Credential: CNM
Phone: 414-939-6262