Individual
DYLAN MADIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4347 MOORE RD, ALLEGAN, MI 49010-8913
(616) 889-3934
Mailing address
4347 MOORE RD, ALLEGAN, MI 49010-8913
(616) 889-3934
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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