Individual
DR. MICHAEL JOHN MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 625-5455
Mailing address
6309 TINGDALE AVE, MINNEAPOLIS, MN 55439-1437
(952) 829-8227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9459
MN
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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