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 |