Search › Michigan › 163WL0100X
Theresa Madoun, RN, BSN, IBCLC
NPI 1790392959 · on the registry since 2020
Practice
- Address
- 3362 Parkland Dr
West Bloomfield, MI 48322 - Phone
- (248) 425-0702
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Also registered as
- 163WN0002X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan