Individual
MADISON YVETTE STYRLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2700 VIKINGS CIR, EAGAN, MN 55121-1002
(952) 456-7600
Mailing address
9445 OLYMPIA DR, EDEN PRAIRIE, MN 55347-2845
(952) 452-0076
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1164474250
MN
363A00000X
Physician Assistant
Primary
14365
MN
363A00000X
Physician Assistant
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1200593
NCCPA
MN
Enumeration date
01/09/2023
Last updated
02/13/2023
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