Individual
PAUL T FADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6525 FRANCE AVE S, SUITE 200, EDINA, MN 55435-2148
(952) 927-6501
(952) 653-1435
Mailing address
6525 FRANCE AVE S, SUITE 200, EDINA, MN 55435-2148
(952) 927-6501
(952) 653-1435
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
44963
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080822900
—
MN
01
—
19003930
MEDICA
—
01
—
34452FA
BS
—
Enumeration date
03/02/2007
Last updated
11/10/2015
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