Healthcare Provider Details

I. General information

NPI: 1578482022
Provider Name (Legal Business Name): MADALYN SVIHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 UPLAND LN N STE 230
MAPLE GROVE MN
55369-4484
US

IV. Provider business mailing address

5752 VINCENT AVE S
MINNEAPOLIS MN
55410-2627
US

V. Phone/Fax

Practice location:
  • Phone: 763-255-3400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2494662
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: