Individual
DOUGLAS L MADSEN
Active
Individual
DOUGLAS L MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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