Individual
JESSIE LAUREN MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5521 BOX ELDER RD, MARSHALL, WI 53559-9769
(847) 436-9088
Mailing address
5521 BOX ELDER RD, MARSHALL, WI 53559-9769
(847) 436-9088
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
612-49
WI
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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