Female

Madalyn R. Baczkowski DNP, AGPCNP-BC

Adult Health Nurse Practitioner in Plymouth, MI(View on Map)

Full Name

Madalyn Rose Baczkowski DNP, AGPCNP-BC

NPI Number

1114603560

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/22/2023

Specialties

(Taxonomies)

Code

363LA2200X
363LG0600X
363LP2300X

Primary Taxonomy

Yes
No
No

Licenses

State

Michigan

License Number

4704330114

Contact
Information

Purpose

Mailing
Location

Address

11883 TRAILWOOD RD
11883 TRAILWOOD RD

City

Plymouth
Plymouth

State

MI
MI

Postal Code

48170-3730
48170-3730

Country

US
US

Telephone Number

(248) 928-4851
(248) 928-4851

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/22/2023

Provider Address

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Female

Kathleen Smith RN, MSN, AGPCNP-BC

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