# MADISON MEDICAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538540729
- **Authorized official:** JOHN KALISZAK D.O. (D.O.)
- **Authorized official phone:** (256) 325-1160

## Contact information

- **Practice address:** 3809 SULLIVAN ST, SUITE 4, MADISON, AL 35758-2372
- **Practice address phone:** (256) 325-1160
- **Practice address fax:** (256) 325-0740
- **Mailing address:** 3809 SULLIVAN ST, SUITE 4, MADISON, AL 35758-2372
- **Mailing address phone:** (256) 325-1160
- **Mailing address fax:** (256) 325-0740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | DO882 | AL | Yes |

## Other

- **Enumeration date:** 06/12/2015
- **Last updated:** 06/12/2015