Individual
MADISON LYNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
809 HOFER AVE, FORT WAYNE, IN 46808-3175
(260) 704-4755
Mailing address
809 HOFER AVE, FORT WAYNE, IN 46808-3175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704447610
MI
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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