Individual
MADELINE DEANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
621 MEDICAL PLZ, SALT LAKE CITY, UT 84112-1515
(208) 386-0168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33341
MN
207R00000X
Internal Medicine Physician
Primary
77464
MN
Other
Enumeration date
06/07/2021
Last updated
08/04/2024
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