Organization
MAPLE CITY MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MADDOX FNP (OWNER)
(219) 369-3177
Entity
Organization
Contact information
Practice address
1700 LINCOLNWAY PL STE 8, LA PORTE, IN 46350-3194
(219) 369-3177
(219) 325-0855
Mailing address
1700 LINCOLNWAY PL STE 8, LA PORTE, IN 46350-3194
(219) 369-3177
(219) 325-0855
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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