GEORGE WAYNE MADER

LOUISVILLE, KY
NPI1518062793
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: UT  08 KY 1003)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
Mr. GEORGE WAYNE MADER RPA
1 AUDUBON PLAZA DR
LOUISVILLE, KY 40217-1318
Phone number: 502-636-7311
Mailing Address
Mr. GEORGE WAYNE MADER RPA
14612 WOODSTREAM PL
LOUISVILLE, KY 40245-5164
Phone number: 502-244-3330
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