Individual
MADELINE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9055 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5841
(763) 780-9155
(763) 236-1066
Mailing address
225 NORTH SMITH AVE N #400,, ST PAUL, MN 55102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R2271662
MN
363LF0000X
Family Nurse Practitioner
Primary
8575
MN
Other
Enumeration date
01/23/2021
Last updated
03/09/2022
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