Individual
MADISON MARIE NITSCHKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 2ND AVE NE, JAMESTOWN, ND 58401-3373
(701) 251-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1091
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/05/2024
Last updated
09/11/2024
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