Individual
ANTHONY JAMES MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1212 E SHERMAN BLVD, MUSKEGON, MI 49444-1879
(231) 672-3500
Mailing address
3060 MAPLE GROVE RD APT 223, MUSKEGON, MI 49441-4064
(989) 306-0316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009806
MI
Other
Enumeration date
12/30/2019
Last updated
10/07/2024
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