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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISSEN MARIE ITEN, PA-C

Active

MADISSEN MARIE ITEN, PA-C is a Physician Assistant healthcare provider located in MAPLE GROVE, Minnesota. NPI 1336835800 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MAPLE GROVE, MN

Registration Details

NPI Number
1336835800
Provider Type
Individual
Gender
Female
NPI Issued
Apr 17, 2023 (3.3224696908709 yrs)
Last Updated
Dec 17, 2025
License
14949 (MN)

Practice Information

Address
9630 GROVE CIR N STE 200
MAPLE GROVE, MN, 553693492
Browse MN providers · Browse ZIP 55369
Phone
7635207870
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in MAPLE GROVE, MN

Name Credential NPI
JOLENE NELSON 1578540613
MS. GAY WYNNE LENTFER PA 1104891100
THOMAS WILKS ELLIS III P.A. C 1881632891
LAURA OLIVIA KRAMER PA-C 1679501373
JODY ANN MIKKELSON PA-C 1669400156
CATHERINE PANDISCIO PA-C 1871522599
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.