Individual
MADISON MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 10TH AVE SE, DEVILS LAKE, ND 58301-4063
(701) 230-7810
Mailing address
1203 10TH AVE SE, DEVILS LAKE, ND 58301-4063
(701) 230-7810
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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