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Individual
DR. DAVID L MCFADDEN
Active
Individual
DR. DAVID L MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
042008047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036087527
—
IL
01
—
390004585
PALMETTO RR MEDICARE
IL
01
—
9908151
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/12/2006
Last updated
05/18/2008
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