NPI 1710709100 · live from the CMS NPI Registry
Madison Deile
Physician Assistant, Medical in Wishek, ND. National Provider Identifier 1710709100, active.
NPI record
| NPI | 1710709100 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1007 4th Ave S, Wishek, ND 58495 |
| Practice phone | 701-452-2326 |
| Enumerated | October 28, 2024 |
| Last updated | March 12, 2026 |
| Sole proprietor | No |
| Other names | Madison Holm |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | PAC1122 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.