Most Relevant Information
Provider Data
NPI Number: | 1003408634 |
Provider Name: | MADISON MAE JOHNSON DC |
Entity Type: | Individual |
Taxonomy Code: | 111N00000X |
Specialty: | Chiropractor |
License Number: | 106741 |
Most Important Dates
Enumeration Date: | 02/04/2021 |
Last Updated: | 12/19/2023 |
Provider Practice Location
60 SE LAUREL ST
WAUKEE
IA
502638299
Practice Location Phone/Fax
Phone: | 5153484325 |
Fax: | 5153468383 |
Provider Mailing Location
60 SE LAUREL ST
WAUKEE
IA
502638299
Provider Mailing Phone/Fax
Phone: | 5153484325 |
Fax: | 5153468383 |