Healthcare Provider Details

I. General information

NPI: 1851246581
Provider Name (Legal Business Name): MADISON IRWIN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 E MEDICAL CENTER DR SPC 5233 ADULT PALLIATIVE CARE PROGRAM, F7870 MOTT EXPANSION
ANN ARBOR MI
48109-5233
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DR SPC 5233
ANN ARBOR MI
48109-5233
US

V. Phone/Fax

Practice location:
  • Phone: 734-998-7332
  • Fax:
Mailing address:
  • Phone: 734-998-7332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1400X
TaxonomyPain Management Pharmacist
License Number5302411639
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: