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Individual

DR. JOSHUA DARRYL MADSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
95 NE DARTMOOR DR, WAUKEE, IA 50263-9673
(515) 264-3405
Mailing address
95 NE DARTMOOR DR, WAUKEE, IA 50263-9673
(515) 264-3405

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
084073
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
084073
SATE LICENSE NUMBER
IA
Enumeration date
10/31/2016
Last updated
10/31/2016
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