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Individual
ANDREAS TIRSO MADDUX
Active
Individual
ANDREAS TIRSO MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
00013482
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553190
—
AL
01
—
1043321300
GROUP NPI
AL
01
—
1316985062
NPI
AL
Enumeration date
06/03/2006
Last updated
06/24/2020
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