Individual
MADELYN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4706 COTTAGE GROVE RD STE 400, MADISON, WI 53716-1354
(608) 268-1700
Mailing address
4706 COTTAGE GROVE RD STE 400, MADISON, WI 53716-1354
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1003005-16
WI
Other
Enumeration date
01/19/2018
Last updated
03/16/2020
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