Individual
MRS. CHRISTINE ELLEN MADDOX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4811 S 76TH ST, SUITE16, GREENFIELD, WI 53220-4364
(414) 282-9050
(414) 282-9190
Mailing address
4811 S 76TH ST, 16, GREENFIELD, WI 53220-4364
(414) 282-9050
(414) 282-9190
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
846046
WI
Other
Enumeration date
02/23/2006
Last updated
07/08/2007
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