Individual
MADELYNE STANDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 W JEFFERSON ST, AUGUSTA, MI 49012-9316
(269) 425-0402
Mailing address
200 W JEFFERSON ST, AUGUSTA, MI 49012-9316
(269) 425-0402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MI
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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