Individual provider · Type 1 NPI

Madison Lee Haus

Surgical Physician Assistant · Woodbury, MN

NPI number 1306404835 Active

Practice location

2090 Woodwinds Dr Ste 200
Woodbury, MN 55125-2522

Mailing address

4813 Weston Hills Dr
St. Paul, MN 55123-3995

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X13082 (MN)

Surgical Physician Assistant: Definition to come...

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About NPI 1306404835

Madison Lee Haus's National Provider Identifier is 1306404835, issued on May 30, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Woodbury, MN. The record was last updated on Aug 30, 2019.