Individual
MADELYN ROSE RIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 CELEBRITY DR, RUSTON, LA 71270-3893
(318) 254-2113
Mailing address
1200 CELEBRITY DR, RUSTON, LA 71270-3893
(318) 254-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO5088
TN
Other
Enumeration date
04/01/2020
Last updated
09/19/2024
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