Individual
DR. LOUIS NATHANIEL RADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
32270 TELEGRAPH RD, SUITE 110, BINGHAM FARMS, MI 48025-2456
(248) 792-9496
(248) 792-9628
Mailing address
28426 W 8 MILE RD, SUITE 3A 4, FARMINGTON HILLS, MI 48336-5946
(248) 497-9477
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
LR014180
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056315415
BCBS OF MI
—
01
—
P00390175
MEDICARE RAILROAD
—
Enumeration date
05/15/2006
Last updated
02/24/2014
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