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Individual

MICHAEL WAYNE MADSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 KELLIE DR, SMITHFIELD, NC 27577-9444
(919) 934-1094
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 220-6379

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2021-01570
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
45364
CO

Other

Enumeration date
04/26/2007
Last updated
12/20/2021
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