Individual
DR. MICHAEL GLENN MADISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
914 PARK AVE, MARCO ISLAND, FL 34145-2751
(239) 394-3068
Mailing address
914 PARK AVE, MARCO ISLAND, FL 34145-2751
(239) 394-3068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2939
FL
Other
Enumeration date
08/17/2006
Last updated
05/02/2011
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