Individual
DOUGLAS L MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5687
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5687
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00022396
WA
207VG0400X
Gynecology Physician
Primary
MD00022396
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0243325
L&I AND CRIME VICTIMS
WA
05
—
1124082037
—
WA
01
—
3516MA
REGENCE
WA
01
—
5883376
AETNA
WA
Enumeration date
04/17/2006
Last updated
10/04/2010
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