(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003292459
Provider Name: JOSE MADRIGAL
Entity Type: Individual
Taxonomy Code: 2255A2300X
Specialty: Specialist/Technologist
License Number: 36000657A
Most Important Dates
Enumeration Date: 08/08/2015
Last Updated: 08/08/2015
Provider Practice Location
1901 N LAFAYETTE ST
GRIFFITH
IN
463191125
Practice Location Phone/Fax
Phone: 2199476085
Fax: 2199476356
Provider Mailing Location
1901 N LAFAYETTE ST
GRIFFITH
IN
463191125
Provider Mailing Phone/Fax
Phone: 2199476085
Fax: 2199476356