Individual
JOHN M MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
19401 HUBBARD DR, SUITE 104, DEARBORN, MI 48126-2641
(313) 982-8201
(313) 982-8001
Mailing address
19401 HUBBARD DR, SUITE 104, DEARBORN, MI 48126-2641
(313) 982-8201
(313) 982-8001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704293218
MI
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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