Individual
BRANDON MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, NREMT
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(219) 575-2951
Mailing address
9235 BAKERS CORNER DR, CAMBY, IN 46113-8249
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
5912-6847
IN
2255A2300X
Athletic Trainer
Primary
36002867A
IN
Other
Enumeration date
03/27/2018
Last updated
12/05/2023
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