Individual
CARISSA SUMMERS MADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0001
(707) 567-3830
Mailing address
1500 LEWIS TURNER BLVD APT M103, FORT WALTON BEACH, FL 32547-7211
(707) 567-3830
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/26/2023
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