Organization
MADISON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY D GROSS (ADMINISTRATOR)
(573) 783-3341
Entity
Organization
Contact information
Practice address
611 W MAIN ST, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Mailing address
611 W MAIN ST, PO BOX 431, FREDERICKTOWN, MO 63645-1111
(573) 783-3341
(573) 783-1096
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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