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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