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NPI Code Detail

MEDICARE: DR. EMILY META PARDINGTON-MADDEN MD

MEDICARE: DR. EMILY META PARDINGTON-MADDEN MD
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
1208600000XSurgery Physician4301515956MI

General Provider Information

NPI Number : 1912527300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMILY META PARDINGTON-MADDEN MD
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD STE 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5452 FORT ST STE 200
Second Line :
City : TRENTON
State : MI
Zip : 48183-4638
Country : US
Telephone Number : 734-642-2673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2020
Last Update Date : 03/10/2026

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