Provider Demographics
NPI:1225725823
Name:AUBER, MADISON LEIGH
Entity Type:Individual
Prefix:MRS
First Name:MADISON
Middle Name:LEIGH
Last Name:AUBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 S TRIMBLE RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44906-3428
Mailing Address - Country:US
Mailing Address - Phone:419-921-6802
Mailing Address - Fax:
Practice Address - Street 1:1020 S TRIMBLE RD
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44906-3428
Practice Address - Country:US
Practice Address - Phone:419-521-6880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program