Individual
NICOLAS N MADIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
55365
MN
2084N0400X
Neurology Physician
Primary
55365
MN
Other
Enumeration date
06/16/2010
Last updated
06/02/2021
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