Individual
DR. ADDASON FELLOWS HEATH MCCASLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
244 E PEARSON ST, APT 1607, CHICAGO, IL 60611-2577
(802) 316-1869
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-5356
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-065307
IL
2084N0400X
Neurology Physician
Primary
A142323
CA
2084V0102X
Vascular Neurology Physician
83186
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2014
Last updated
12/20/2021
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