Individual
DR. GARY JOHN MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
324 W SUPERIOR ST, SUITE 700, DULUTH, MN 55802-1701
(218) 722-7831
(218) 625-5550
Mailing address
324 W SUPERIOR ST, SUITE 700, DULUTH, MN 55802-1701
(218) 722-7831
(218) 625-5550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10521
MN
Other
Enumeration date
10/10/2006
Last updated
07/09/2007
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