Baczkowski, Madalyn Rose

Baczkowski, Madalyn Rose is an individual health care provider with primary practice located at 11883 Trailwood Rd , Plymouth MI 48170-3730. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Baczkowski, Madalyn Rose can be contacted via phone (248) 928-4851.

Contact Information

Primary practice address
11883 Trailwood Rd Plymouth MI 48170-3730
Phone: (248) 928-4851
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704330114 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704330114 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704330114 Michigan

Profile Details

NPI number 1114603560
LBN Legal business name Baczkowski, Madalyn Rose
Credentials DNP, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2023
Last updated Jun 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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