Individual
DENNIS J MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
2330 TROOP DR UNIT 105A, SARTELL, MN 56377-4733
(320) 217-8480
(320) 217-8490
Mailing address
2330 TROOP DR UNIT 105A, SARTELL, MN 56377-4733
(320) 217-8480
(320) 217-8490
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2895
MN
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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