Individual
MRS. MICAH R MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1804 ARBOR LN, VESTAVIA, AL 35226-3226
(205) 873-5004
Mailing address
1804 ARBOR LN, VESTAVIA, AL 35226-3226
(205) 873-5004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1621
AL
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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