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Individual

DR. MICHAEL A MADDAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
424 HARVARD STREET SE, SUITE M100, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 625-5411
Mailing address
420 DELAWARE STREET SE, MMC 195, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 626-6666

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28178
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
28178
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1009223
PREFERREDONE
01
101564
UCARE
01
18-00066
MEDICA PRIMARY
01
18-12353
MEDICA CHOICE
05
1977009
IA
01
2T098MA
BLUE CROSS BLUE SHIELD
MN
05
30648100
WI
01
768240
ARAZ
01
HP22187
HEALTHPARTNERS
Enumeration date
10/20/2006
Last updated
09/11/2025
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