Individual
MADISON JENEAN HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 S 70TH ST, MILWAUKEE, WI 53214-3167
(414) 727-2789
Mailing address
560 N 16TH ST, MILWAUKEE, WI 53233-2160
(414) 288-7250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
WI
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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