Individual
KATHERINE ELIZABETH MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 48109-5855
(734) 936-9020
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704139320
MI
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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