Individual
MADISON MARIE EHLKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 2ND ST SE LOT 115, MINOT, ND 58701-5907
(701) 429-4640
Mailing address
1107 2ND ST SE, MINOT, ND 58701-5907
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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