Provider Demographics
NPI:1144962523
Name:ISKIERKA, MADISON KATHERINE (MD)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:KATHERINE
Last Name:ISKIERKA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9409 VAN BUREN ST NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-2441
Mailing Address - Country:US
Mailing Address - Phone:763-447-8583
Mailing Address - Fax:
Practice Address - Street 1:1300 N 12TH ST STE 320
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2858
Practice Address - Country:US
Practice Address - Phone:602-521-3050
Practice Address - Fax:602-521-3046
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program