Individual
MADISON MARIE PHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
4160 JOHN R ST STE 925, DETROIT, MI 48201-2017
(313) 745-7247
(313) 993-0500
Mailing address
4160 JOHN R ST STE 925, DETROIT, MI 48201-2017
(313) 745-7247
(313) 993-0500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704339193
MI
363LA2100X
Acute Care Nurse Practitioner
4704339193
MI
Other
Enumeration date
06/28/2021
Last updated
06/12/2025
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