Individual
JAMIE MADL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1112 W 6TH ST STE 215, LAWRENCE, KS 66044-2215
(785) 505-2250
(785) 505-5259
Mailing address
325 MAINE ST, MSO LIBRARY, LAWRENCE, KS 66044-1360
(785) 505-2988
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
T04045
KS
Other
Enumeration date
08/28/2014
Last updated
10/04/2024
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