Individual
MADELINE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNM
Contact information
Practice address
624 SMITH AVE S, SAINT PAUL, MN 55107-2620
(651) 689-3988
Mailing address
1911 E 36TH ST, MINNEAPOLIS, MN 55407-2917
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
388
MN
Other
Enumeration date
12/27/2018
Last updated
11/29/2021
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