Individual
RANDALL DREW MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9828 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1617
Mailing address
9828 E SHANNON WOODS CIR STE 100, WICHITA, KS 67226-4100
(316) 631-1600
(316) 631-1617
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
04-49765
KS
207XX0801X
Orthopaedic Trauma Physician
Primary
04-49765
KS
Other
Enumeration date
04/11/2013
Last updated
03/17/2026
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