Madison, Gary John

Madison, Gary John is an individual health care provider with primary practice located at 324 W Superior St Suite 700, Duluth MN 55802-1701. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Madison, Gary John can be contacted via phone (218) 722-7831.

Contact Information

Primary practice address
324 W Superior St Suite 700 Duluth MN 55802-1701
Phone: (218) 722-7831
Fax: (218) 625-5550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D10521 Minnesota

Profile Details

NPI number 1497843361
LBN Legal business name Madison, Gary John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 9th, 2007 - about 19 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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