Individual
JAMES MADONNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
80650 VAN DYKE RD, BRUCE TWP, MI 48065-1333
(810) 798-6470
(810) 798-6476
Mailing address
80650 VAN DYKE RD, BRUCE TWP, MI 48065-1333
(810) 798-6470
(810) 798-6476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006190
MI
Other
Enumeration date
05/27/2018
Last updated
04/07/2021
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