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Individual

MICHAEL T MADSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
11110 MEDICAL CAMPUS RD, SUITE 129, HAGERSTOWN, MD 21742-6700
(301) 665-4630
(301) 665-4631
Mailing address
13915 SMITHSBURG PIKE, SMITHSBURG, MD 21783-1261
(301) 824-4084
(301) 665-4631

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12511
MD

Other

Enumeration date
05/05/2006
Last updated
07/08/2007
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