Individual
MADELINE T CARROLL-SCHAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3760 PIPER ST STE 1108, ANCHORAGE, AK 99508-4683
(907) 212-6900
(907) 212-6936
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0699
SD
363A00000X
Physician Assistant
Primary
176434
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0699
0699 SD STATE LICENSE
SD
Enumeration date
01/05/2009
Last updated
10/19/2021
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