Healthcare Provider Details

I. General information

NPI: 1285572511
Provider Name (Legal Business Name): MADISON GUINEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 COUNTY ROAD D E STE A100
MAPLEWOOD MN
55109-5354
US

IV. Provider business mailing address

2115 COUNTY ROAD D E STE A100
MAPLEWOOD MN
55109-5354
US

V. Phone/Fax

Practice location:
  • Phone: 651-770-5282
  • Fax: 651-391-2342
Mailing address:
  • Phone: 651-770-5282
  • Fax: 651-391-2342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3003
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: