| Mcn Madison LLC | |
|
120 W Holum St Ste A Deforest WI 53532-1108 | |
| (608) 912-1672 | |
| Not Available |
| Full Name | Mcn Madison LLC |
|---|---|
| Speciality | Counselor |
| Location | 120 W Holum St Ste A, Deforest, Wisconsin |
| Authorized Official Name and Position | Timothy Carlton (OWNER/PRACTITIONER) |
| Authorized Official Contact | 9202514489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcn Madison LLC 120 W Holum St Deforest WI 53532-1108 Ph: (608) 912-1672 | Mcn Madison LLC 120 W Holum St Ste A Deforest WI 53532-1108 Ph: (608) 912-1672 |
| NPI Number | 1902739816 |
|---|---|
| Provider Enumeration Date | 06/08/2026 |
| Last Update Date | 07/21/2026 |
| Certification Date | 07/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902739816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
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