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Individual
DR. DAN FREDERICK MADSEN
Active
Individual
DR. DAN FREDERICK MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F6897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040006014
RAILROAD GBA - RAILROAD MEDICARE
TX
05
—
119168603
—
TX
05
—
119168606
—
TX
01
—
887915
BC/BS TX#
TX
01
—
8DE536
BC/BS #
TX
01
—
MDF6897TX
WORKERS COMPENSATION
TX
01
—
P01090504
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/12/2006
Last updated
12/05/2012
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