Individual
DR. MELISSA MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4325 GRAND AVE, DULUTH, MN 55807-2730
(218) 628-7035
(218) 624-6594
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 392-1955
(715) 392-1935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1002683-15
WI
1223G0001X
General Practice Dentistry
Primary
D14587
MN
Other
Enumeration date
07/09/2021
Last updated
11/01/2021
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