Mader, Michael John

Mader, Michael John is an individual health care provider with primary practice located at 375 Orleans St E , Stillwater MN 55082-5830. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mader, Michael John can be contacted via phone (612) 368-5713.

Contact Information

Primary practice address
375 Orleans St E Stillwater MN 55082-5830
Phone: (612) 368-5713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305816 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1972100675
LBN Legal business name Mader, Michael John
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2020
Last updated Oct 6th, 2020 - about 5 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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