Individual
JULIE ANN MADARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 159TH ST, ROBERTS, WI 54023-5012
(715) 796-2905
Mailing address
724 159TH ST, ROBERTS, WI 54023-5012
(715) 796-2905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118005 -030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39946000
—
WI
Enumeration date
05/13/2008
Last updated
05/13/2008
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