Organization
MADISON CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CRAIG (PATIENT ACCOUNT MANAGER)
(812) 265-0199
Entity
Organization
Contact information
Practice address
722 W MAIN ST, MADISON, IN 47250-3105
(812) 265-0199
(812) 265-0570
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 265-0199
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/13/2008
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