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Individual

MARK ANTHONY NADDAF

Active
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Individual

MARK ANTHONY NADDAF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301083864
MI
2080P0206X
Pediatric Gastroenterology Physician
4301083864
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
89490
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2743697
OH
Enumeration date
03/19/2007
Last updated
06/16/2023
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