Individual
MADELYN BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 HAZEN ST, PAW PAW, MI 49079-2008
(269) 657-5574
Mailing address
10293 TOMKINSON DR, SCOTTS, MI 49088-8764
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704354396
MI
2084P0800X
Psychiatry Physician
Primary
4704354396
MI
Other
Enumeration date
05/01/2026
Last updated
05/04/2026
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