Individual
MRS. MICHELLE MARIE MAGDSICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7330 STATE HYW 7, EXCELSIOR, MN 55331
(952) 446-9222
(952) 446-9225
Mailing address
1526 CLOUD DR NE, BLAINE, MN 55449-4731
(763) 754-8202
(763) 754-3806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
070733-2
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43352100
—
WI
Enumeration date
01/05/2006
Last updated
07/08/2007
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