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Individual

BRUCE W MADSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2715 WILLETTA ST SW, SUITE B, ALBANY, OR 97321-3471
(511) 926-5848
(541) 926-2873
Mailing address
2715 SW WILLETTA, SUITE B, ALBANY, OR 97321
(541) 926-5848
(541) 926-2873

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD24375
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
226939
OR
Enumeration date
05/31/2006
Last updated
10/21/2008
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