Individual
MS. MADELYN BROOKE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845-1714
(260) 425-5400
(260) 425-5417
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003440A
IN
Other
Enumeration date
08/31/2021
Last updated
12/12/2025
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