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Individual
NICHOLAS MADAFFER
Active
Individual
NICHOLAS MADAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
252846
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2017012404
MO
208100000X
Physical Medicine & Rehabilitation Physician
4665-850
WI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2017012404
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
301480
LA
Other
Enumeration date
07/12/2012
Last updated
11/14/2024
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