MEDICARE: MADISON MOYER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301401712	MI

General Provider Information

NPI Number	:	1568319754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON MOYER DC

Provider Business Mailing Address
First Line	:	804 ELM ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-1227
Country	:	US
Telephone Number	:	269-983-5527
Fax Number	:	269-983-3610

Provider Business Practice Location Address
First Line	:	804 ELM ST
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-1227
Country	:	US
Telephone Number	:	269-983-5527
Fax Number	:	269-983-3610

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “ MADISON MOYER DC” Practice Location

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