Individual
MEGAN JEAN MADOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
(616) 742-6758
Mailing address
1000 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704288386
MI
Other
Enumeration date
06/14/2017
Last updated
01/05/2023
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