Magdalen Rene Gadbois
Individual provider Active NPI Speech-Language Pathologist · Wyoming, MN
NPI 1861977787 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1861977787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10189 (MN)
- Practice address
- 5200 Fairview Blvd
Wyoming, MN 55092-8013 - Phone
- (651) 982-7000
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10189 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Health Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10189 | MN | Yes |
Addresses
Primary practice location
5200 Fairview Blvd
Wyoming, MN 55092-8013
Mailing address
1690 Highway 36 W Apt 320
Roseville, MN 55113-4013
Phone (651) 323-4397
Other names
- Maggie Rene Gadbois
Other providers in Wyoming, MN
- Fairview Pharmacy Services LLC
- Fallon Hagy
- Cynthia Marie Felegy
- Amber N Fluto
- Sarah Connaughty Fuerstenberg
- Bryan Gaffy
- David Anthony Galleberg
- Matthew James Garrison
- Kelsey Elizabeth Gelhaus
- Michael A Germain
All providers in Wyoming, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.