Maddaus, Michael A

Maddaus, Michael A is an individual health care provider with primary practice located at 424 Harvard Street Se, Suite M100 University Of Minnesota Physicians, Minneapolis MN 55455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Maddaus, Michael A can be contacted via phone (612) 625-5411.

Contact Information

Primary practice address
424 Harvard Street Se, Suite M100 University Of Minnesota Physicians Minneapolis MN 55455
Phone: (612) 625-5411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 28178 Minnesota
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 28178 Minnesota

Profile Details

NPI number 1568544096
LBN Legal business name Maddaus, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568544096 NPPES
Iowa MEDICAID 1977009
Iowa Other 2T098MA
Iowa Other 101564
Iowa MEDICAID 30648100
Iowa Other 768240
Iowa Other 1009223
Iowa Other 18-00066
Iowa Other 18-12353
Iowa Other HP22187

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