Madison Thalacker, PA-S
Madison Thalacker, PA-S is a Physician Assistant in Minneapolis, Minnesota. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
2211 Riverside AveMinneapolis, MN 55454-1350
Phone: (612) 330-1399
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1639928013 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-S |
| Sole proprietor | No |
| NPI enumerated | May 16, 2024 |
| Last updated in NPPES | May 16, 2024 |
| Certification date | May 16, 2024 |
| Mailing address | 1010 Sussex Dr, Eau Claire, WI 54703-2096 |
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Kaitlyn Rose Thao
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