Individual
MICHAEL EDWARD MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2094 E STATE ST STE B, SALEM, OH 44460-4409
(330) 337-8709
Mailing address
2094 E STATE ST STE B, SALEM, OH 44460-4409
(330) 337-8709
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
35-06-9908-M
OH
208600000X
Surgery Physician
Primary
35-06-9908-M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116338
—
OH
Enumeration date
01/16/2007
Last updated
02/03/2023
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