Individual
DR. JENNIFER RAY MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15383 43RD ST SW, COKATO, MN 55321-4606
(320) 286-3011
Mailing address
15383 43RD ST SW, COKATO, MN 55321-4606
(320) 286-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37675
MN
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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