Individual
MADELINE KLAYSMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 FREEPORT AVE NW, ELK RIVER, MN 55330-2723
(763) 581-5200
(763) 581-5201
Mailing address
800 FREEPORT AVE NW, ELK RIVER, MN 55330-2723
(763) 581-5200
(763) 581-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14860
MN
Other
Enumeration date
06/27/2022
Last updated
05/13/2024
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