Individual
ANN U MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2251 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-2777
(574) 371-4697
Mailing address
2251 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-2777
(574) 371-4697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201027750
—
IN
01
—
P00442910
RAILROAD MEDICARE
—
Enumeration date
06/24/2006
Last updated
06/13/2012
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