Whalio Doctors

NPI 1205501392

Michael Robert Madsen, CPSS

Practitioner Peer Specialist Mesa, AZ

Practice location

Address
6239 E Brown Rd STE 105, Mesa, AZ 85205-4933
Phone
(480) 477-9199
Fax
(602) 610-1556

Registered specialties

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X

Registry record

NPI
1205501392
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Aug 2021
Record last updated
11 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.