Healthcare Provider Details

I. General information

NPI: 1003727058
Provider Name (Legal Business Name): BETH MARIE MCMAHON M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH MARIE SWEDZINSKI

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 4TH ST W
CANBY MN
56220-1211
US

IV. Provider business mailing address

1421 6TH ST N
NEW ULM MN
56073-2071
US

V. Phone/Fax

Practice location:
  • Phone: 866-670-5163
  • Fax:
Mailing address:
  • Phone: 866-670-5163
  • Fax: 507-354-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: