Individual
MADELINE JOLEAHBETH LESLYN KURTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 US-169, SUITE 100, MINNEAPOLIS, MN 55428
(651) 773-5988
Mailing address
4900 US-169, 100, MINNEAPOLIS, MN 55428
(612) 877-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
202668
MN
224Z00000X
Occupational Therapy Assistant
Primary
202668
MN
Other
Enumeration date
11/08/2021
Last updated
05/12/2026
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