Individual
CONNIE MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12411 E 7 MILE RD, DETROIT, MI 48205-2154
(313) 526-3460
Mailing address
18640 MACK AVE # 842, GROSSE POINTE FARMS, MI 48236-7700
(313) 825-4838
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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