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Individual

DENNIS S MCFADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
W10033 PARKSIDE LN, ANTIGO, WI 54409-9314
(715) 610-5209
(715) 610-5209
Mailing address
W10033 PARKSIDE LN, ANTIGO, WI 54409-9314
(715) 610-5209
(715) 610-5209

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54861-21
WI
207V00000X
Obstetrics & Gynecology Physician
O-8258
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200125950A
OK
Enumeration date
03/14/2007
Last updated
03/10/2015
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