Madeline Nicole Detra
General Practice • Anoka, MN
Professional Overview & Biography Verified Profile Summary
Madeline Detra is a registered healthcare professional specializing in General Practice in Anoka, MN. Practice services are available at 2621 GREENHAVEN RD under active NPI credentials.
Practice Location & Contact Primary Location
2621 Greenhaven Rd
Anoka, MN 553035566
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Anoka, MN
Practicing in Anoka, MN (95 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-05-16NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Pharmacist
Registered Pharmacist
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Pharmacist
Doctor of Pharmacy (Pharm.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 2621 GREENHAVEN RD, ANOKA, MN 553035566 (Tel: 7634215540)
Registered at 2621 GREENHAVEN RD, ANOKA, MN 553035566 (Tel: 7634215540)
Recorded as MADELINE DETRA
General Practice (License #1346244274 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2621 Greenhaven Rd
Anoka, MN 553035566
Phone: 7634215540
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