Individual
DR. MARI ANNE MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8737 BEVERLY BLVD, SUITE 402, WEST HOLLYWOOD, CA 90048-1828
(310) 854-3580
(310) 659-5830
Mailing address
8737 BEVERLY BLVD, SUITE 402, WEST HOLLYWOOD, CA 90048-1828
(310) 854-3580
(310) 659-5830
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A92144
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A92144
—
CA
Enumeration date
12/15/2005
Last updated
04/23/2012
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