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Organization

PIKE MEDICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL K MADSEN D.O. (PRESIDENT OF CORP)
(740) 947-8602
Entity
Organization

Contact information

Practice address
13800 US ROUTE 23 NORTH, WAVERLY, OH 45690-9373
(740) 947-8602
(740) 947-7943
Mailing address
PO BOX 2018, CHILLICOTHE, OH 45601-8018
(740) 947-8602
(740) 947-7943

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
003920
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2915251
OH
Enumeration date
11/08/2006
Last updated
01/14/2010
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