Madeline Nicole Detra
Madeline Nicole Detra is a General Practice Physician in Anoka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.
- Licensed in
- MN
- In the registry since
- 2026
Practice location Address checks out
2621 Greenhaven RdAnoka, MN 55303-5566
Phone: (763) 421-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 1346244274 (MN) |
|---|
Record details
| NPI number | 1992634885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 16, 2026 |
| Last updated in NPPES | May 16, 2026 |
| Certification date | May 16, 2026 |