| Michael Maddox, MENTAL HEALTH TECH | |
|
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
| (219) 473-1350 | |
| (219) 392-6998 |
| Full Name | Michael Maddox |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568768158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Maddox, MENTAL HEALTH TECH 8400 Louisiana St, Merrillville, IN 46410-6385 Ph: (219) 757-1932 | Michael Maddox, MENTAL HEALTH TECH 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 473-1350 |
Latavia Lacefield, MENTAL HEALTH TECH Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-473-1350 Fax: 219-392-6998 | |
Mr. Gregory Brommett Stephenson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4320 Fir St, Suite 210, East Chicago, IN 46312 Phone: 219-836-5464 Fax: 219-228-4777 | |
Filimon Ramos, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1313 W Chicago Ave, East Chicago, IN 46312 Phone: 219-397-1196 Fax: 219-392-4958 |