Individual
MADELYN MARY WAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 S ANKENY BLVD, ANKENY, IA 50023-9417
(515) 598-7200
Mailing address
1235 SW MERCHANT ST APT 104, ANKENY, IA 50023-2488
(469) 396-8342
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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