Individual
LINDA JEAN MADIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3830 W FRONT ST, TRAVERSE CITY, MI 49684-8153
(231) 929-2500
(231) 929-4365
Mailing address
3830 W FRONT ST, TRAVERSE CITY, MI 49684-8153
(231) 929-2500
(231) 929-4365
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704108203
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M58250
MEDICARE GROUP
MI
01
—
430B810310
BCBS
MI
05
—
493908510
—
MI
01
—
CG1308
MEDICARE RR
MI
Enumeration date
08/22/2006
Last updated
09/11/2012
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