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MADELEINE WISE CHARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 EAST MEDICAL CENTER DRIVE, 11TH FLOOR C.S. MOTT CHILDRENS HOSPITAL, ANN ARBOR, MI 48109-4204
(734) 936-4978
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
197500
WI
363L00000X
Nurse Practitioner
4704272120
MI
363L00000X
Nurse Practitioner
Primary
APRN11035712
FL
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.0035386
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0187825
OH
Enumeration date
09/19/2013
Last updated
06/23/2025
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