Wald, Madelyn Marie

Wald, Madelyn Marie is an sole proprietor health care provider with primary practice located at 4040 Coon Rapids Blvd Nw Ste 120 , Coon Rapids MN 55433-4568. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wald, Madelyn Marie can be contacted via phone (763) 236-8174.

Contact Information

Primary practice address
4040 Coon Rapids Blvd Nw Ste 120 Coon Rapids MN 55433-4568
Phone: (763) 236-8174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14122 Minnesota

Profile Details

NPI number 1659010742
LBN Legal business name Wald, Madelyn Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2022
Last updated Jul 25th, 2022 - about 3 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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