Individual
MS. MARY MICHELE MADIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 VETERANS DR, MEDICINE CLINIC 1A, MINNEAPOLIS, MN 55417-2309
(612) 467-1836
(612) 727-5948
Mailing address
1409 ASHLAND AVE, SAINT PAUL, MN 55104-6707
(651) 644-6234
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R 061153-8
MN
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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