Organization
MADSEN ORTHOPEDICS AND SPINE, PSC
Active
Organization
MADSEN ORTHOPEDICS AND SPINE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT ROBERT ERIK MADSEN DO (OWNER)
(812) 234-2663
Entity
Organization
Contact information
Practice address
501 E HOSPITAL LN, SUITE 205, TERRE HAUTE, IN 47802-4230
(812) 234-2663
(812) 242-5878
Mailing address
501 E HOSPITAL LN, SUITE 205, TERRE HAUTE, IN 47802-4230
(812) 234-2663
(812) 242-5878
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001875
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200920600A
—
IN
01
—
613979900
DOL FECA
IN
Enumeration date
07/10/2008
Last updated
05/26/2009
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