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 |