Individual
MADISON MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
215 2ND ST SE, MINOT, ND 58701
(701) 857-4400
(701) 857-4432
Mailing address
215 2ND ST SE, MINOT, ND 58701
(701) 857-4400
(701) 857-4432
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1971
ND
Other
Enumeration date
07/12/2021
Last updated
01/05/2023
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