Madison Wiley

NPI #1962167072 in Pryor, Oklahoma

Provider Information

NPI Number: 1962167072
Entity Type: Individual
Name: Madison Wiley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 3, 2021
Last Updated: Nov 3, 2021

Practice Location

Address: 109 N FAIRLAND ST
City: Pryor
State: Oklahoma
ZIP Code: 74361-4205
Phone: (918) 282-2743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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