Most Relevant Information
Provider Data
| NPI Number: | 1003492927 |
| Provider Name: | MADELINE YOUNGBERG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2021 |
| Last Updated: | 05/24/2024 |
Provider Practice Location
22 BRAMHALL ST
PORTLAND
ME
041023175
Practice Location Phone/Fax
| Phone: | 2076620111 |
| Fax: |
Provider Mailing Location
500 S MAPLE ST
WACONIA
MN
553871791
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |