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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