Individual
MR. PAUL MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-5755
(559) 459-4453
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C21103
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C211030
—
CA
Enumeration date
07/14/2006
Last updated
06/30/2014
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