Individual
DR. LOUIS NATHANIEL RADDEN
Active
Individual
DR. LOUIS NATHANIEL RADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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