Individual
MADDISON CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 LAKE DR N, BROWNSBURG, IN 46112-2101
(317) 509-1910
Mailing address
101 LAKE DR N, BROWNSBURG, IN 46112-2101
Taxonomy
Speciality
Code
Description
License number
State
347D00000X
Train
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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