Madonna Fabian
Madonna Fabian is an Internal Medicine in St Joseph, Michigan. Qualified in 2013, 13 years ago. Accepts Medicare assignment. Licensed in Illinois and Michigan.
- Years since qualifying
- 13
- Licensed in
- IL, MI
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
3078 Niles RdSt Joseph, MI 49085-8608
Phone: (269) 287-3949
Fax: (269) 408-8631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 4301501470 (MI) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 036143635 (IL) |
| Hospitalist Physician | Taxonomy 208M00000X · Licence 036.143635 (IL) |
Record details
| NPI number | 1124438411 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 7, 2014 |
| Last updated in NPPES | June 9, 2022 |
| Certification date | June 9, 2022 |
| Mailing address | 3078 Niles Road, St Joseph, MI 49085-8608 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in St Joseph
-
Kathleen M Andries, MD
4025 Health Park Ln Caring Cir, St Joseph, MI 49085 · (269) 429-7100
-
Courtney Chilton Palguta, DO
1234 Napier Ave Lakeland Regional Medical Ctr, St Joseph, MI 49085 · (269) 982-4941