Individual
DR. MADISON WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
40774 MT HIGHWAY 35, POLSON, MT 59860-7745
(406) 883-3674
Mailing address
40774 MT HIGHWAY 35, POLSON, MT 59860-7745
(406) 883-3674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-88655
MT
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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