Individual
MRS. TAMMY M MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3850
(319) 356-3900
Mailing address
502 N 9TH AVE, VINTON, IA 52349-2299
(319) 472-6215
(319) 472-6483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001367
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42174
WELLMARK BC/BS
IA
Enumeration date
08/09/2005
Last updated
11/11/2020
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