Individual
DR. JIM MADANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4021 MILLER RD, FLINT, MI 48507-1231
(810) 732-7300
Mailing address
4021 MILLER RD, FLINT, MI 48507-1231
(810) 732-7300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019181
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D800185
BCBSM GROUP NUMBER
MI
Enumeration date
09/21/2006
Last updated
04/15/2010
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