Individual
MADELINE M MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
THIMG PRIMARY CARE-CANTON, 1600 S. CANTON CENTER RD SUITE 200, CANTON, MI 48188
(734) 398-7880
(734) 761-7318
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704342548
MI
363LF0000X
Family Nurse Practitioner
2023126823
MI
363LF0000X
Family Nurse Practitioner
Primary
4704342548
MI
Other
Enumeration date
06/29/2022
Last updated
06/12/2024
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