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Michael James Madura, M.D,

Internal Medicine, Gastroenterology in Grand Rapids, MI. Individual provider (NPI-1).

NPI number1497862437
StatusActive
Last updated in NPPESJun 22, 2010

Details

NPI
1497862437
Entity type
Individual (NPI-1)
Name
Michael James Madura
Credential
M.D,
Sex
Male
Sole proprietor
No
Enumeration date
Aug 24, 2006
Last updated
Jun 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology4301043486MIYes

Practice location

1900 Wealthy St Se
Ste 150
Grand Rapids, MI 49506-2969

Phone 616-459-3158 · Fax 616-459-4714

Mailing address

1900 Wealthy St Se
Ste 150
Grand Rapids, MI 49506-2969

Phone 616-459-3158 · Fax 616-459-4714

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