Healthcare Provider Details

I. General information

NPI: 1841345055
Provider Name (Legal Business Name): COLLEEN M MADDEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2598 W WHITE RIVER BLVD
MUNCIE IN
47303-5251
US

IV. Provider business mailing address

714 N SENATE AVE
INDIANAPOLIS IN
46202-3763
US

V. Phone/Fax

Practice location:
  • Phone: 765-741-1882
  • Fax: 765-282-7356
Mailing address:
  • Phone: 317-909-3086
  • Fax: 317-963-2711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01038670A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: