Individual
EMILY MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
3250 W 66TH ST APT 548, EDINA, MN 55435-5514
(651) 447-6737
Mailing address
4715 SIREN RD UNIT A, MISSOULA, MT 59808-5712
(206) 499-8501
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-128500
MT
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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