Provider Demographics
NPI:1396272548
Name:MADDAUS, DANIELLE LEIGH STROMME (DC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LEIGH STROMME
Last Name:MADDAUS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8617 W POINT DOUGLAS RD S STE 110
Mailing Address - Street 2:
Mailing Address - City:COTTAGE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55016-4122
Mailing Address - Country:US
Mailing Address - Phone:651-459-2000
Mailing Address - Fax:
Practice Address - Street 1:8617 W POINT DOUGLAS RD S STE 110
Practice Address - Street 2:
Practice Address - City:COTTAGE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55016-4122
Practice Address - Country:US
Practice Address - Phone:651-459-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6374111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor