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NPI Profile for THERESA H MADOUN in WEST BLOOMFIELD, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lactation Consultant |
163WL0100X | |||
Neonatal Intensive Care |
163WN0002X |
| NPI # | 1790392959 |
|
| Status | Active | |
| Credentials | RN, BSN, IBCLC | |
| Entity | Individual | |
| Enumeration date | 09/30/2020 | |
| Last updated | 09/30/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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THERESA H MADOUN
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