Individual
MADISON NIEDERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 HARVEY ST, NORTON SHORES, MI 49444-9739
(231) 737-3469
Mailing address
748 E 132ND ST, GRANT, MI 49327-9672
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704334252
MI
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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