Individual
KATELYN MAGADANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 113TH AVE NE, BLAINE, MN 55434-3823
(651) 313-0458
Mailing address
2441 121ST CIR NE UNIT D, BLAINE, MN 55449-5582
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
24043213
MN
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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