Individual
MADISON BRENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 86TH AVE N, MAPLE GROVE, MN 55369-4529
(763) 755-4275
Mailing address
6305 GOPHER BLVD N, OAKDALE, MN 55128-4217
(218) 491-1998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
529155
MN
Other
Enumeration date
06/05/2025
Last updated
03/17/2026
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