Individual
MADISON DACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SLABTOWN RD, LIMA, OH 45801-2224
(567) 712-5796
Mailing address
2720 SLABTOWN RD, LIMA, OH 45801-2224
(567) 712-5796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
02/02/2024
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