Individual
CASEY J MADURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 MICHIGAN ST NE, SUITE 3003, GRAND RAPIDS, MI 49503-2514
(616) 267-2570
(616) 267-2571
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
4301109805
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2008
Last updated
07/06/2022
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