Provider Demographics
NPI:1063753341
Name:SEELEY KREISMAN, MARION DICKINSON (DOULA)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:DICKINSON
Last Name:SEELEY KREISMAN
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 IOWA AVE W
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-2242
Mailing Address - Country:US
Mailing Address - Phone:651-488-9274
Mailing Address - Fax:
Practice Address - Street 1:1144 IOWA AVE W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-2242
Practice Address - Country:US
Practice Address - Phone:651-488-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula