Individual
MADELYN NICOLE KUSSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2140 53RD AVE, BETTENDORF, IA 52722-6279
(563) 421-5870
Mailing address
711 N 1ST ST APT G203, ELDRIDGE, IA 52748-1258
(319) 929-0328
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
097117
IA
Other
Enumeration date
09/05/2019
Last updated
04/28/2021
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