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Nicholas Maddux
NPI 1497027825 · on the registry since 2012
Practice
- Address
- 1300 University Ave W
Saint Paul, MN 55104 - Phone
- (651) 646-8002
- Organisation at this address
- Target Clinic
Grand St Paul Cvs LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-02-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota