Individual
MICHAEL R MADIEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6060 MAPLE RD, FRANKENMUTH, MI 48734-9715
(530) 815-1747
Mailing address
6060 MAPLE RD, FRANKENMUTH, MI 48734-9715
(530) 815-1747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PENDING
MI
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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