Individual
DR. DEBORAH MADANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
858 THIRD STREET, SANTA ROSA, CA 95404
(707) 576-1813
(707) 874-3332
Mailing address
12345 DUPONT ROAD, SEBASTOPOL, CA 95472
(707) 874-3332
(707) 874-3332
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
G84120
CA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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