Individual
MADISON L PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1580 BEAM AVE, MAPLEWOOD, MN 55109-1127
(651) 779-7978
(651) 779-7656
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5311
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
13151
MN
Other
Enumeration date
10/24/2014
Last updated
10/01/2019
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