Individual
MADELINE GRACE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
909 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 292-4006
(866) 229-7081
Mailing address
909 W CANFIELD AVE, COEUR D ALENE, ID 83815-9764
(208) 292-4006
(866) 229-7081
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2771366
ID
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
2771366
ID
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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