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Individual

MRS. KERA NOEL MADSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
12324 WAYZATA BLVD STE 100, MINNETONKA, MN 55305-1919
(952) 835-4512
(888) 425-0398
Mailing address
7825 3RD ST N, STE105, OAKDALE, MN 55128-5444
(952) 835-4512
(888) 425-0398

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7974
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115593
OPTUM (UNITED HEALTH CARE)
MN
Enumeration date
08/13/2007
Last updated
07/19/2021
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