Individual
MADALYN J AXFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
13430 E 13 MILE RD, WARREN, MI 48088-3187
(248) 854-8999
Mailing address
57871 ABRAHAM DR, WASHINGTON, MI 48094-2957
(586) 337-4864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023204942
MI
Other
Enumeration date
01/08/2024
Last updated
02/09/2024
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