Individual
MS. MICHELE ANN MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
6665 CAHILL AVE, INVER GROVE HEIGHTS, MN 55076-2026
(651) 455-1247
(651) 455-8375
Mailing address
2418 78TH ST E, INVER GROVE HEIGHTS, MN 55076-2820
(651) 455-1247
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2606
MN
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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