Madison Amalia Van Hulle, DO
Family Medicine in Ankeny, IA. Individual provider (NPI-1).
NPI number1164099362
StatusActive
Last updated in NPPESJan 6, 2025
Details
- NPI
- 1164099362
- Entity type
- Individual (NPI-1)
- Name
- Madison Amalia Van Hulle
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2021
- Certification date
- Jan 6, 2025
- Last updated
- Jan 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO-06194 | IA | Yes |
Practice location
1410 Sw Tradition Dr Ste 120Ankeny, IA 50023-9188
Phone 515-875-9040 · Fax 515-875-9041
Mailing address
Po Box 424Des Moines, IA 50302-0424
Phone 515-875-9255 · Fax 515-875-9223
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