Individual
MS. KERRY MARIE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E. MEDICAL CENTER DRIVE, 2920 TC, ANN ARBOR, MI 48109
(349) 365-8187
(734) 936-6927
Mailing address
1500 E. MEDICAL CENTER DRIVE, 2920 TC, ANN ARBOR, MI 48109-5331
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301115036
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2016
Last updated
05/16/2018
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