Individual
MADELINE ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 W 246TH ST, SHERIDAN, IN 46069-9331
(317) 645-6825
Mailing address
39 E 9TH ST, APT 303, INDIANAPOLIS, IN 46204-1136
(317) 645-6825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003636A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/17/2021
Last updated
06/23/2022
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