Individual
MADISON WYLIE HAWKES GAGERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8178 LARK BROWN RD STE 101, ELKRIDGE, MD 21075-6438
(410) 646-4800
Mailing address
253 POE CT, SEVERNA PARK, MD 21146-2136
(301) 873-2902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
05/21/2026
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