Individual
MADISON LEE HAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2090 WOODWINDS DR STE 200, WOODBURY, MN 55125-2522
(651) 968-5201
Mailing address
4813 WESTON HILLS DR, SAINT PAUL, MN 55123-3995
(651) 367-9512
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
13082
MN
Other
Enumeration date
05/30/2019
Last updated
08/30/2019
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