Madelyn and Manor

NPI #1750080578 in Owatonna, Minnesota

Provider Information

NPI Number: 1750080578
Entity Type: Organization
Organization Name: Madelyn and Manor
Primary Specialty: Specialist
Enumeration Date: Mar 1, 2023
Last Updated: Mar 1, 2023

Practice Location

Address: 202 N CEDAR AVE STE 1
City: Owatonna
State: Minnesota
ZIP Code: 55060-2306
Phone: (310) 739-1601

Authorized Official

Name: DOUGLAS GREEN JR.
Title: PRESIDENT
Phone: (310) 739-1601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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