Individual
JOSE MADRIGAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 N LAFAYETTE ST, GRIFFITH, IN 46319-1125
(219) 947-6085
(219) 947-6356
Mailing address
1901 N LAFAYETTE ST, GRIFFITH, IN 46319-1125
(219) 947-6085
(219) 947-6356
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000657A
IN
Other
Enumeration date
08/08/2015
Last updated
08/08/2015
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